Infusion Collector - Houston, United States - HealthQuest Infusion & Specialty

HealthQuest Infusion & Specialty

Verified Company

Houston, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Are you passionate about medical collections? If so, then HealthQuest wants you.

HealthQuest Infusion and Specialty is looking for a dynamic and experienced Infusion Collector who can effectively and consistently generate revenue through professional, proper and ethical collection efforts.

Qualifications
Advanced knowledge of medical terminology

Experience Submitting NDCs on CMS-1500 forms

Must have infusion collections experience

Advanced knowledge of HCPCS, ICD-10, and NDC coding

Knowledge of electronic billing

Experience with working on open claims in Change, Availity, CareTend, and Online Insurance Portals

Experience dealing with insurance rejections, reconciliations, and high dollar patient accounts

Excellent calculation/math skills. Converting vials to units

Ability to understand insurance contracts for billing purposes

Ability to prioritize and handle multiple tasks and projects concurrently

Strong interpersonal and communication skills and the ability to work effectively with branch departments

Demonstrated knowledge and proficiency in the principles, procedures, and best practices related to this position

Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office, Excel, Teams, Word, and WhatsApp

The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data while adhering to HIPAA compliance

Responsibilities

Processing denials and secondaries promptly, including claim reconsiderations and case openings.
Submitting appropriate documentation for adjustments to supervisor
Working on aging accounts daily to strive for all outstanding claims being paid within 90 days
Aggressively working to ensure prompt payments for claims older than 90 days
Performing successful medical insurance, CMS, and PBM audits with positive outcomes
Assisting monthend closings as scheduled, to assure timeliness
Working collaboratively with other departments, including intake, nursing, and billing, to improve timely reimbursement process and results
Adhering to those performance programs, policies, procedures, guidelines, and internal control standards established to guide the operation of the company
Identifying outstanding accounts receivable, including hospital LOA's, Single Case Agreements with insurance companies, house accounts, and inner company invoices
Being proactive in contacting house and patient accounts to encourage timely payments as well as setting up patient payment plans
Processing credit card payments and refunds
Resolving billing issues with payors
Submitting requested information from payors through their portal to ensure prompt payments of outstanding claims
Resolving customer credit issues
Processing all medical records requests in a timely manner
Preparing and presenting reports on collection activities and progress of unpaid claims in monthly A/R meeting with management
Notifying the supervisor of problem accounts
Performing other duties as assigned