Job Details

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

We are seeking a dedicated Collections Lead for our Revenue Cycle Team.

Responsibilities

• Manage all fiscal functions necessary to ensure the prompt and correct payment of all monies owed by both insurers and patients.
• Answer billing and insurance inquiries on patient accounts from patients, insurance companies and other departments.
• Identify trends in payments, denials and cash posting that compromise the ability of the department to meet goals.
• Resolve outstanding balances in a timely manner. Knowledgeable and responsible for multiple payers. •Collaborate with billing and other departments as necessary to facilitate operations.
• Maintain, correct, and reconcile batch posting for any or all payers as requested by the Supervisor.
• Monitor top 10/20 high dollar accounts per financial class as assigned.
• Manage all special projects for the team assigned. Including progress, corrective actions and timely completion.
• Prepare adjustments that are necessary to change existing accounts receivable to update patient information.
• Review unpaid accounts by examining remittance advice and aging reports. Investigate and act on unpaid accounts to bring them to closure.
• Assist all front-line workers with questions/issues.
• Primary trainer for all new employees coming out of training classes and any existing employees who are learning a new function.
• Assist Supervisor and Manager with making sure all current priorities and initiatives are being followed.
• Be SME (Subject Matter Expert) and assist collectors with resolution of accounts.
• Perform other duties as assigned.

• Strong customer service and interpersonal skills.
• Effective written and verbal communication.
• Excellent organization, problem solving skills and attention to detail.
• Meet the quality assurance and benchmark standards set by the management team.
• Knowledge of patient accounting systems, third party billing and collections guidelines.
• Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence.
• Effective problem-solving skills.

• Associate degree preferred.
• Collections or medical billing experience with an understanding of ICD10, HCPCS and medical terminology is preferred.
• Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred.
• Proficiency in the Microsoft Suite.