RCM / Collections Specialist / Medical Biller - Remote - Eastern Time Zone

A Day in the Life at Option Care Health Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work to elevate standards of care for patients with acute and chronic conditions in all 50 states. Job Description Summary Applicants must currently reside in the Eastern Time Zone to be considered. Job Responsibilities Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt. Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment within a reasonable time frame. Generates and mails statements and collections letters. Follows up on all denials within 48 hours of receipt. Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPAA guidelines when accessing and sharing patient information to maintain patient and business confidentiality. Education and Experience Requirements High School Diploma or equivalent. 0–6 months previous Infusion Reimbursement or Intake/Admissions experience. Basic Qualifications and Interests Basic level skill in Microsoft Excel (e.g., opening a workbook, inserting rows, formatting cells as currency, using copy/paste functions). Basic level skill in Microsoft Word (e.g., opening a document, cutting/pasting text, changing margins, inserting bullets, using spell check). Salary Salary to be determined by applicant’s education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Benefits Medical, Dental, & Vision Insurance Paid Time Off Bonding Time Off 401K Retirement Savings Plan with Company Match HSA Company Match Flexible Spending Accounts Tuition Reimbursement myFlexPay Family Support Mental Health Services Company Paid Life Insurance Award/Recognition Programs Equal Opportunity Employment Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. E-Verify® is a registered trademark of the U.S. Department of Homeland Security. #J-18808-Ljbffr