Medical Collections Specialist, Home Infusion - Evernorth - Remote

Responsibilities: Responsible for the collection of insurance claims and identifying the root causes of denials to recommend corrective actions. This includes contacting payers and patients, processing appeals, and documenting all activity in patient collection notes.

Requirements: Requires a high school diploma or equivalent and one to three years of related experience in a medical or administrative environment. Candidates should possess strong knowledge of medical billing, insurance policies, and the ability to communicate effectively with payers and patients.

Key skills: Medical Collections, Insurance Claims Processing, Third Party Billing, AR Aging Report Analysis, Payer Appeals, EOB Interpretation, Medical Billing Practices, Customer Service, Problem Solving, Time Management, ICD9, CPT4, HCPCS, Medical Terminology, Home Infusion Knowledge, Administrative Record Management

Keywords: Medical Collections, Revenue Cycle, Home Infusion, Insurance Claims, Payer Appeals, EOB, ICD9, CPT4, HCPCS, Medical Terminology, DMEMAC, HCN360, CPR+, Third Party Billing, AR Aging Report, Medical Billing, Healthcare Administration, Reimbursement Practices