Reimbursement Collection Specialist

Company: AmerisourceBergen Corporation
Location: Carrollton
Posted on: May 1, 2021

Job Description:

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