Prosper Infusion
Accounts Receivables & Billing Specialist
Prosper Infusion is looking for an experienced and motivated AR & Collections Specialist 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. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred.
Major Responsibilities
Ensures daily activities support company goals for cash collections and A/R over 90 days, readiness to bill under 14 days, and weekly and month-end close processes.
Maintain strong collections and timely follow-ups with insurance companies to achieve positive outcomes.
Process unpaid claims promptly and perform necessary demographic changes to reduce rejections of submitted electronic and paper claims.
Identify patterns of non-compliance by branch staff in patient registration, supporting billing documentation, and delivery tickets.
If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to maximize revenue.
Work within specified deadlines and under pressure; overtime as needed to meet goals.
Performs other tasks or special projects as assigned.
Education/Experience
High School Diploma or equivalent (GED) required.
College degree preferred in accounting or business.
Excellent interpersonal, communication, and organizational skills required.
Ability to prioritize, problem solve, and multitask.
Minimum 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Medical Practices
Notes: This posting has been refined to remove extraneous content and present a clear job description with standard formatting. If you need additional sections (e.g., benefits, location) added, provide details and I will include them appropriately.
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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. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred.
Major Responsibilities
Ensures daily activities support company goals for cash collections and A/R over 90 days, readiness to bill under 14 days, and weekly and month-end close processes.
Maintain strong collections and timely follow-ups with insurance companies to achieve positive outcomes.
Process unpaid claims promptly and perform necessary demographic changes to reduce rejections of submitted electronic and paper claims.
Identify patterns of non-compliance by branch staff in patient registration, supporting billing documentation, and delivery tickets.
If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to maximize revenue.
Work within specified deadlines and under pressure; overtime as needed to meet goals.
Performs other tasks or special projects as assigned.
Education/Experience
High School Diploma or equivalent (GED) required.
College degree preferred in accounting or business.
Excellent interpersonal, communication, and organizational skills required.
Ability to prioritize, problem solve, and multitask.
Minimum 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Medical Practices
Notes: This posting has been refined to remove extraneous content and present a clear job description with standard formatting. If you need additional sections (e.g., benefits, location) added, provide details and I will include them appropriately.
#J-18808-Ljbffr