InfuSystem
InfuSystem is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers by delivering ambulatory pumps and supplies, along with related clinical, biomedical and billing services, to practices and patients nationwide.
With a comprehensive suite of services, InfuSystem improves clinician access to quality medical equipment and promotes patient wellness and safety while reducing the overall cost of infusion care.
InfuSystem offers Oncology, Pain Management and Wound Care therapies, including Negative Pressure Wound Therapy. The company’s Durable Medical Equipment (DME) Services are composed of direct payer rentals, pump and consumable sales, and biomedical services and repair, including on-site and depot services.
Headquartered in Rochester Hills, Michigan, InfuSystem delivers local, field-based customer support and operates Centers of Excellence in Michigan, Florida, Kansas, California, Massachusetts, Texas and Ontario, Canada.
Job Summary
The RCM Wound Care 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 wound care services. This position will have demonstrated proficiency in working a variety of payers and wound care services. Quality and productivity scores must be above average. Responsibilities
Monitor accounts receivable agings to ensure timely resolution of claims Ability to identify and report any trends causing future potential denials Ensure payment accuracy Learn and assist with Collection processes for all business line or as assigned. 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 Conduct insurance reverification as needed through various eligibility tools Research, write, and submit appeals as appropriate Process third party payer correspondence, refunds, and adjustments Accurately and thoroughly document the pertinent collections activities in appropriate systems Possess knowledge on billing guidelines and modifiers used for Advanced Wound Care and Negative Pressure Wound Therapy Have experience in submitting appeals for Advanced Wound Care and Negative Pressure Wound Therapy Respond to all patient inquiries timely Remain up to date on payer medical policy notices and changes Share information and ideas for process improvements with team Comply with all work instructions, policies, and behavioral expectations Requirements
Associate degree or equivalent preferred; minimum five years related experience; or equivalent combination of education and experience Five years of wound care billing/collections experience preferred Organizational skills Good troubleshooting skills Strong attention to detail Proficient with Word, Excel, Outlook Operate Express/HDMS/Waystar proficiently Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans Ability to handle inquiries and respond via telephone or in writing Ability to explain and resolve collections-related questions/issues to patients, sales representatives, and facilities Proper use of ICD-10, CPT, and HCPCS codes Benefits
Health, Dental, Vision Life Insurance, STD & LTD 401(k) with a specified Company Match Employee Stock Purchase Program Tuition Assistance Generous Paid Time Off plan Paid Parental Leave Employee Assistance Program Competitive Pay Direct Deposit Employee Referral Bonus
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The RCM Wound Care 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 wound care services. This position will have demonstrated proficiency in working a variety of payers and wound care services. Quality and productivity scores must be above average. Responsibilities
Monitor accounts receivable agings to ensure timely resolution of claims Ability to identify and report any trends causing future potential denials Ensure payment accuracy Learn and assist with Collection processes for all business line or as assigned. 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 Conduct insurance reverification as needed through various eligibility tools Research, write, and submit appeals as appropriate Process third party payer correspondence, refunds, and adjustments Accurately and thoroughly document the pertinent collections activities in appropriate systems Possess knowledge on billing guidelines and modifiers used for Advanced Wound Care and Negative Pressure Wound Therapy Have experience in submitting appeals for Advanced Wound Care and Negative Pressure Wound Therapy Respond to all patient inquiries timely Remain up to date on payer medical policy notices and changes Share information and ideas for process improvements with team Comply with all work instructions, policies, and behavioral expectations Requirements
Associate degree or equivalent preferred; minimum five years related experience; or equivalent combination of education and experience Five years of wound care billing/collections experience preferred Organizational skills Good troubleshooting skills Strong attention to detail Proficient with Word, Excel, Outlook Operate Express/HDMS/Waystar proficiently Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans Ability to handle inquiries and respond via telephone or in writing Ability to explain and resolve collections-related questions/issues to patients, sales representatives, and facilities Proper use of ICD-10, CPT, and HCPCS codes Benefits
Health, Dental, Vision Life Insurance, STD & LTD 401(k) with a specified Company Match Employee Stock Purchase Program Tuition Assistance Generous Paid Time Off plan Paid Parental Leave Employee Assistance Program Competitive Pay Direct Deposit Employee Referral Bonus
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