CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

We are seeking a dedicated Collections Lead for our Revenue Cycle Team.
 

Responsibilities

Manage all fiscal functions necessary to ensure the prompt and correct payment of all monies owed by both insurers and patients.

Answer billing and insurance inquiries on patient accounts from patients, insurance companies and other departments.

Identify trends in payments, denials and cash posting that compromise the ability of the department to meet goals.

Resolve outstanding balances in a timely manner. Knowledgeable and responsible for multiple payers. • Collaborate with billing and other departments as necessary to facilitate operations.

Maintain, correct, and reconcile batch posting for any or all payers as requested by the Supervisor.

Monitor top 10/20 high dollar accounts per financial class as assigned.

Manage all special projects for the team assigned. Including progress, corrective actions and timely completion.

Prepare adjustments that are necessary to change existing accounts receivable to update patient information.

Review unpaid accounts by examining remittance advice and aging reports. Investigate and act on unpaid accounts to bring them to closure.

Assist all front-line workers with questions/issues.

Primary trainer for all new employees coming out of training classes and any existing employees who are learning a new function.

Assist Supervisor and Manager with making sure all current priorities and initiatives are being followed.

Be SME (Subject Matter Expert) and assist collectors with resolution of accounts.

Perform other duties as assigned.

Skills & Abilities

Strong customer service and interpersonal skills.

Effective written and verbal communication.

Excellent organization, problem solving skills and attention to detail.

Meet the quality assurance and benchmark standards set by the management team.

Knowledge of patient accounting systems, third party billing and collections guidelines.

Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence.

Effective problem-solving skills.

Qualifications

Associate degree preferred.

Collections or medical billing experience with an understanding of ICD10, HCPCS and medical terminology is preferred.

Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred.

Proficiency in the Microsoft Suite.

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.