Job Description

Prosper Infusion is a home infusion pharmacy looking for talented and motivated AR & Collections Specialist to join our dynamic team!

The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims. Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred.

Major Responsibilities:

• Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined.
• Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended.
• Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims.
• Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets.
• If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed.
• Works within specified deadlines and stressful situations.
• Works overtime when necessary to meet department goals and objectives.
• Performs other tasks or special projects as assigned.

Education/Experience:

• High School Diploma or equivalent (GED) required.
• College degree preferred in accounting or business.
• Excellent interpersonal, communication and organizational skills required.
• Ability to prioritize, problem solve, and multitask is required.
• A minimum of 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.

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