Reimbursement Collection Specialist
Company: AmerisourceBergen Corporation
Posted on: May 1, 2021
Title: Reimbursement Collection Specialist Location: United
States-Texas-Carrollton Other Locations: United States-Iowa-Remote,
United States-Kentucky-Remote, United States-Alabama-Remote, United
States-Vermont-Remote, United States-South Dakota-Remote, United
States-North Carolina-Remote, United States-Pennsylvania-Remote,
United States-Hawaii-Remote, United States-Texas-Remote, United
States-Connecticut-Remote, United States-Tennessee-Remote, United
States-Colorado-Remote, United States-New York-Remote, United
States-District of Columbia-Remote, United States-New
Jersey-Remote, United States-Missouri-Remote, United
States-Oklahoma-Remote, United States-Oregon-Remote, United
States-Nebraska-Remote, United States-Louisiana-Remote, United
States-Georgia-Remote, United States-Washington-Remote, United
States-Massachusetts-Remote, United States-New Mexico-Remote,
United States-Montana-Remote, United States-Indiana-Remote, United
States-Wisconsin-Remote, United States-Kansas-Remote, United
States-Arizona-Remote, United States-West Virginia-Remote, United
States-Rhode Island-Remote, United States-Ohio-Remote, United
States-Wyoming-Remote, United States-Virginia-Remote, United
States-Idaho-Remote, United States-Michigan-Remote, United
States-Illinois-Remote, United States-Mississippi-Remote, United
States-Nevada-Remote, United States-South Carolina-Remote, United
States-Arkansas-Remote, United States-Maine-Remote, United
States-Minnesota-Remote, United States-Utah-Remote, United
States-California-Remote, United States-North Dakota-Remote, United
States-New Hampshire-Remote, United States-Delaware-Remote, United
States-Maryland-Remote, United States-Florida-Remote Job Number:
000026NF The Reimbursement Collections Specialist will be is
responsible for various reimbursement functions, including but not
limited to accurate and timely claim assessment, claim status,
payer knowledge, contractual adjustments, correspondence, appeals,
and refunds until accounts receivable is properly resolved.
Provides optimal customer service and reimbursement support to
internal and external customers. Manages targeted accounts to
ensure proper reimbursement is received Analyze and research all
under/over payments for claim resolution. Provides all necessary
documentation required to payer to resolve claim denials (e.g.
medical records, prior authorizations, op reports etc.).
Effectively utilizes various means for collections, including but
not limited to payer contracts, phone, fax, mail, and online
methods. Reports any reimbursement trends/delays to supervisor/team
lead (e.g. billing rejections, claim denials, pricing errors, cash
posting errors etc.). Achieve monthly productivity and cash
collection goals. Review payer correspondence daily and respond
accordingly to mitigate risk to the accounts receivable.
Coordinates when applicable with inter-departmental associates to
obtain appropriate medical records as they relate to the
reimbursement process. Independently analyzes work and determine
collectability, at risk accounts and contracting/payer issues.
Responsible for responding accurately and timely to all internal
reimbursement request from other business units. Provides excellent
customer service to internal and external customers; resolves any
customer requests in a timely and accurate manner; escalates
complaints accordingly. Typically receives weekly instruction on
day-to-day work, specific instructions on new assignments. Performs
related duties as assigned. Qualifications: Normally requires 2
years of experience with revenue cycle management, contracting,
DME, and home Infusion preferred. Pharmacy/Specialty Pharmacy
experience strongly preferred. Requires broad training in fields
such as pharmacy, revenue cycle management, durable medical (DME),
home infusion or similar vocations generally obtained through
completion of a four year Bachelor's degree in Business
Administration, Health Administration or equivalent combination of
experience and education. Comprehension of medical terminology.
Strong experience with commercial, government and pharmacy payers.
Root cause analyses skills. Excellent knowledge and experience with
contracts, appeals, recoupments, offset, and forwarding balance.
Ability to communicate effectively both verbal and written. Strong
organizational skills; attention to detail. General knowledge of
accounting principles, pharmacy operations, and medical claims.
General knowledge of HCPCS, NDC, CPT, ICD-9 and ICD-10 coding
preferred. Ability to proficiently use Microsoft Excel, Outlook and
Word. Job: Operations Jobs
Keywords: AmerisourceBergen Corporation, Carrollton , Reimbursement Collection Specialist, Accounting, Auditing , Carrollton, Texas
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