What are the responsibilities and job description for the RCM Collections Specialist position at InfuSystem?
InfuSystem is a growing healthcare service provider, specializing in infusion pumps and related products and services for patients in hospitals, clinics, ambulatory surgery centers, and other major service centers. We provide direct payer rentals, pump and consumable sales, and biomedical services and repair, serving all 50 states and Canada. Headquartered in Rochester Hills, Michigan, we have Centers of Excellence in Kansas, California, Massachusetts, Texas and Ontario, Canada.
As a leader in our field, our mission is to provide quality infusion services to patients and medical practices, including a 24-hour clinical support hotline. Our team effort provides product management and clinical support to enhance the lives of our patients and the communities we serve. Service is always our highest priority; keeping the patients' health & safety at the center of everything we do.
SUMMARY :
The RCM Collections Specialist is responsible for the management of activities relative to third party payer collections. This includes, but is not limited to, performing accounts receivable management, following up on denials / non-payments, filing appeals for medical necessity, benefit coverage, etc. This position should have collections work experience in DME and other healthcare-related services.
IN THIS ROLE, THE IDEAL CANDIDATE WILL :
- Monitor accounts receivable agings to ensure timely resolution of claims
- Ability to identify and report any trends causing future potential denials
- Ensure payment accuracy
- Must be able to interpret payer explanation of benefits (EOBs)
- Review payer denials, analyze accounts, and determine the next appropriate steps to achieve payment success
This will include payer portal review and phone calls to payers. Successful candidates will have the ability to clearly and concisely communicate the issues that they are seeing and request payer representatives to assist with resolution.
QUALITY AND QUANTITY OF WORK
Team members will be responsible for hitting regular productivity targets with a high level of quality. Quality audits will be performed on a regular basis and feedback and education will be provided to the team member to help support growth and development.
SUPERVISORY RESPONSIBILITIES :
This job has no supervisory responsibilities.
THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS :
PERSONAL AND PROFESSIONAL ATTRIBUTES :
Required to understand and have a commitment to the philosophy, mission, values, and vision of the business and will be required to demonstrate these values with his / her daily actions. The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes :
PHYSICAL DEMANDS :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORK ENVIRONMENT :
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
COMPREHENSIVE BENEFIT PACKAGE TO INCLUDE :
