Medical Accounts Receivable Specialist

Prosper Infusion is a national home infusion company located in Tampa, FL that is seeking a Medical Accounts Receivable Specialist. This is an in-office position.

Follow up of aging A/R of assigned payers. Responsible for handling all correspondence related to an insurance or patient accounts, contacting insurance carriers and patients as needed to secure maximum payment. Identify and report issues or trends to Management for review and assistance.

Duties and Responsibilities :

• Possess complete understanding of the billing/collection process to resolve outstanding claims.
• Follow-up on Accounts Receivable/Insurance Aging for claims aged past 45 days.
• Research and resolve accounts appearing on Delinquent Insurance report and Collection Ledger.
• Read and interpret Insurance Explanation of Benefits for proper adjustment and patient balances.
• Handle submission of corrected claims and any claims rejected by assigned insurance payers.
• Dispute and/or appeal denied claims with frequent follow up with payers and/or patients on outstanding accounts.
• Escalate complex claims issues and/or trends directly to the Billing Director.

Skills/ Requirements:

• Customer service experience a plus, particularly in a healthcare related field
• Proficient in Microsoft Office products (e.g. Word, Excel)
• Experience handling EOB’s and ERA’s
• Detail oriented with the ability to prioritize, organize, trouble-shoot, and problem solve.
• Demonstrates initiative, ability to work independently and in a team setting.
• Full-time, In person work.

Education and Experience:

• Bachelor’s degree or equivalent work experience
• Minimum of 2 years of medical billing experience required