Collections Lead / Remote

Amerita

The Collection Lead - Adjustments is responsible for providing in-depth review of our adjustments both RCM and Branch Controllable requiring an extreme high skillset for invoice review. The employee will proactively work assigned accounts and tasks to maximize accurate and timely adjustment review and transaction when applicable. Above all, the Collection Lead - Adjustments demonstrates exceptional internal and external customer service skills and actively promotes Amerita's company culture.

The Collection Lead - Adjustments will review and approve adjustments up to $500 or less and may review higher with special approval or special project permitting. They will work to reduce the number of outstanding adjustment requests on a month-month basis and will provide analysis and recommendations for improvement to Management and Senior Leadership to reduce overall bad debt.

Shift: Monday-Friday 8:00am-4:30pm

Ensures daily accomplishments work towards company goals for AR management and bad debt reduction
• Reviews in-scope adjustment requests for accuracy and adjustment approval
• Works in multiple software applications, reviews payer remits and other account documentation to determine if there is a path to payment before approving the adjustment request
• Reviews returned adjustments and collaborates with aging teams on necessary steps to secure payment from the payer
• Provides in-depth analysis on adjustment trends and patterns and brings them to the attention of the appropriate department personnel
• Supports the collections department as the primary resource for the adjustment process. Identifies opportunities for improvements in the process and collaborates with department leadership
• Understands and adheres to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
• Researches assigned correspondence; takes necessary action to resolve requested information in a timely manner; establishes appropriate follow up
• Utilizes most efficient resources to review and resolve adjustment balances
• Interacts with third party collection agencies
• Communicates consistently and professionally with other Amerita employees
• Works within specified deadlines and stressful situations
• Works overtime when necessary to meet department goals and objectives

• High School Diploma/GED or equivalent required; some college a plus
• A minimum of one (1) year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
• Working knowledge of automated billing systems; experience with CPR+ preferred
• Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
• Solid Microsoft Office skills required, including Word, Excel and Outlook
• Ability to type 40 wpm and proficiency with 10-key calculator
• Ability to independently obtain and interpret information
• Strong verbal and written communication skills
• This position does not have supervisory responsibilities
• This position does not require travel
• While performing the duties of this job, the employee is regularly required to sit and talk or hear
• The employee is frequently required to walk and use hands to finger, handle or feel
• The employee is occasionally required to stand and reach with hands and arms
• The employees must frequently lift and/or move up to 10 pounds and occasionally lift and or move up to 30 pounds
• Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus
• The noise level in the work environment is usually moderate