Accounts Receivables & Billing Specialist
Join us to apply for the Accounts Receivables & Billing Specialist role at Prosper Infusion .
Prosper Infusion is seeking experienced and motivated AR & Collections Specialists to join our dynamic team.
The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims, including contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered. Experience with Commercial, Medicare, FL Medicaid, and Home Infusion billing is preferred.
Major Responsibilities:
- Ensure daily work aligns with company goals for cash collections, A/R over 90 days, billing within 14 days, and departmental objectives.
- Maintain strong skills in collections and follow-ups with insurance companies to achieve positive outcomes.
- Process unpaid claims promptly, make demographic changes to reduce rejections, and ensure proper handling by branch and billing staff.
- Identify non-compliance patterns in patient registration, billing documentation, and delivery tickets.
- Submit secondary billing with supporting documentation per payer guidelines to maximize revenue.
- Work within deadlines and handle stressful situations effectively.
- Overtime may be required to meet departmental goals.
- Perform additional tasks or projects as assigned.
Education/Experience:
- High School Diploma or GED required.
- College degree in accounting or business preferred.
- Excellent interpersonal, communication, and organizational skills.
- Ability to prioritize, problem-solve, and multitask.
- 1-2 years of experience in Home Infusion Pharmacy billing and collections, with knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
Additional Details:
- Seniority level: Entry level
- Employment type: Full-time
- Job functions include Sales, General Business, and Education
- Industries: Wireless Services, Telecommunications, Communications Equipment Manufacturing
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Locations and salary ranges vary by posting, with recent postings in St. Petersburg, Tampa, and Odessa, FL.
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