[Remote] Collection Specialist

Note: The job is a remote job and is open to candidates in USA. RemoteHunter is seeking a Collection Specialist to support a Specialty Infusion Pharmacy and work remotely within the USA. The role involves managing accounts receivable, making collection calls, and ensuring compliance with various regulations while providing excellent customer service.

Responsibilities

• Research all balances on accounts receivable and take necessary collection actions promptly
• Review and resolve assigned correspondence and requests in a timely manner
• Make routine collection calls on outstanding claims
• Identify and resolve billing errors, short payments, unpaid claims, and cash application issues
• Identify potential risk, write-offs, and status appropriately; report and escalate to management as needed
• Research refund requests from payers and update refund status accordingly
• Document detailed notes clearly in company software
• Identify issues or trends and escalate to management when assistance is required
• Provide exceptional customer service to internal and external customers
• Ensure compliance with federal, state, and local regulations, third-party contracts, and company policies
• Communicate effectively with branch, management, patients, and insurance carriers
• Perform account analysis when necessary
• Answer patient calls regarding balance inquiries
• Use portals and other electronic tools to manage accounts
• Ensure claims are on file after initial submission
• Identify, escalate, and prepare potential payer projects for management and company liaisons
• Write detailed appeals with supporting documentation
• Monitor payer follow-up and appeal deadlines
• Submit secondary claims

Skills

• Home infusion therapy experience is required
• Previous home infusion and specialty pharmacy experience required
• 1-3 years or more of collections experience
• Knowledge of HCPC coding and medical terminology
• Strong math and writing skills
• Excellent interpersonal, communication, and organizational skills
• Ability to prioritize, problem solve, and multitask
• Proficiency in Word, Excel, and Outlook
• High school diploma or equivalent; associate degree in finance, accounting, or related field preferred
• CPR+ systems experience preferred

Benefits

• Competitive wages
• Flexible schedules
• 401(k) with a match
• Referral bonus
• Annual merit-based increases
• No weekends or holidays
• Affordable medical, dental, and vision insurance plans
• Company-paid disability and basic life insurance
• HSA and FSA options, including dependent care
• Paid time off
• Education assistant program

Company Overview