BioScrip, Inc. is the largest independent national provider of infusion and home care management solutions, with approximately 2,100 teammates and nearly 70 service locations across the U.S. BioScrip partners with physicians, hospital systems, payors, pharmaceutical manufacturers and skilled nursing facilities to provide patients access to post-acute care services. BioScrip operates with a commitment to bring customer-focused pharmacy and related healthcare infusion therapy services into the home or alternate-site setting. By collaborating with the full spectrum of healthcare professionals and the patient, BioScrip provides cost-effective care that is driven by clinical excellence, customer service, and values that promote positive outcomes and an enhanced quality of life for those it serves. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement, an Employee Referral Program, and a 401(k) Retirement Savings.
Due to our exceptional growth and success, we are recruiting for a Collections Specialist to join our team!
SUMMARY This position performs reimbursement functions with focus on collections. Assigned responsibilities are to be completed in compliance with federal, state and payor guidelines as well as with Company policy and procedure
ESSENTIAL FUNCTIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation.
Addresses and collects revenue on outstanding claims and is persistent with aging accounts.
Performs rebilling function of insurance payers within the collection process.
Responds to changes in patients insurance (plan changes, ID numbers, etc.), updates electronic records, and informs appropriate reimbursement departments.
Reviews all denied claims and communicates with insurance carriers to facilitate collection of unpaid balances.
Submits appropriate documentation for adjustments to supervisor.
Assists month-end closing as scheduled to assure timeliness.
Works independently on projects as assigned by supervisor.
Attends required in-services each year.
Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results.
Performs other duties as assigned.
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS High school diploma or equivalent is required; Minimum of three (3) years of medical collections experience is required; Infusion, home health or DME experience is preferred. Educational requirements may be waived in lieu of proven relevant experience.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED The requirements listed below are representative of the knowledge, skill, and/or ability required, with or without reasonable accommodation.
Working knowledge of medical terminology.
Knowledge of HCPCS coding.
Knowledge of ICD 9 coding.
Knowledge of NDC coding.
Knowledge of electronic billing.
Excellent calculation/math skills.
Ability to understand insurance contracts for billing purposes.
Ability to prioritize and handle multiple tasks and projects concurrently.
Strong interpersonal and communication skills and the ability to work effectively with branch departments.
Demonstrated knowledge and proficiency in the principles, procedures and best practices related to this position.
Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office.
The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data.
Strong attention to detail.
Proficient analytical skills.
Proficient in MS Office.
Language Skills Ability to read, analyze and interpret information appropriate to duties and responsibilities assigned. Ability to operate information systems, follow policy, complete required forms, and prepare reports. Ability to effectively present information and respond to questions from patients, and payors.
Mathematical Skills Ability to perform basic mathematical calculations.
Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions.