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BrightSpring Health Services CREDIT BALANCE SPECIALIST I- INFUSION PHARMACY in ENGLEWOOD, Colorado

Our Company

Overview

The Credit Balance Specialist I (CBS) is responsible for a broad range of collection processes related to medical accounts receivable in support of single and multiple site locations. The Credit Balance Specialist I i s responsible for the timely, accurate, and efficient processing of CBA adjustments in accordance with Amerita’s established adjustment policy. The Credit Balance Specialist I will also be responsible for reviewing and analyzing patient credit balances. The employee will proactively work assigned accounts to maximize accurate and timely resolution of credit balances. The employee will observe company policies and all applicable laws and regulations. The employee must have the ability to prioritize and problem solve. The employee will work closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. Above all, qualified candidates should possess exceptional internal and external customer service skills and actively promote Amerita’s company culture.

Responsibilities

  • Insures daily accomplishments work towards company goals for credit balances, cash collections and A/R over 90 days

  • Understands and adheres to state and federal regulations, and to company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices

  • Understands and adheres to HIPAA and PHI guidelines

  • Understands insurance contracts in terms of payments, patient financial responsibility, credit balances, and refunds

  • Reviews CBA adjustments and submits overpayment notification letters and calls payers in accordance with Amerita’s adjustment policy.

  • Utilizes approved note templates and documents all actions taken in CPR+ for RCM analyst tracking purposes

  • Initiates and coordinates move and cash research requests with the cash applications department

  • Utilizes most efficient resources to secure timely resolution of credit invoices or balances; electronic solutions should be given priority

  • Communicates consistently and professionally with other Amerita employees, payers, and third party collection agencies

  • Adheres to established performance metric for the Credit Balance Specialist

  • Works within specified deadlines and stressful situations

  • Works overtime when necessary to meet department goals and objectives

  • Performs other tasks or special projects as requested by management

Qualifications

  • 1 year experience in medical collections or a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus

  • Working knowledge of automated billing systems, experience with CPR+ and Zirmed preferred

  • Working knowledge and application of metric measurements, basic accounting practices, ICD-9/10, CPT and HCPCS coding

  • Solid Microsoft Office skills required: Word, Excel and Outlook

  • Ability to type 40 wpm and proficiency with10-key calculator

  • Medical Terminology a plus

  • Ability to independently obtain and interpret information

  • Strong verbal and written communication skills; ability to draft/write professional business correspondence

About our Line of Business

Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .

Colorado Pay Min

USD $16.00/Hr.

Colorado Pay Max

USD $17.00/Hr.

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BrightSpring Health Services, and our family of brands, provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact the BrightSpring Disabilities Support Team at 1-833-773-7240 orcontact us (https://www.brightspringhealth.com/application-assistance/) for assistance.

Equal Opportunity Employment Posters (https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm)

Clickhere (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.

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Job LocationsUS-CO-ENGLEWOOD

ID 2021-33457

Position Type Full-Time

Line of Business Amerita

Colorado Pay Min USD $16.00/Hr.

Colorado Pay Max USD $17.00/Hr.

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