Insurance Collections Specialist

Insurance Collections Specialist

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.

CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.

Summary

To provide financial, administrative, and clerical services to ensure effective, efficient, and accurate financial and administrative operations. Insurance Collections Specialist duties include ensuring accuracy and efficiency of operations, processing and monitoring incoming payments, securing revenue by verifying and posting receipts, and ensuring our patients' pharmacy and medical services are processed by insurance payers in a timely manner. The Insurance Collections Specialist must comply with established policies and procedures.

Base Range : $23 / hr - $25 / hr (DOE)

Schedule : (Remote) Monday - Friday, 8 : 00am - 4 : 30pm CST with some flexibility

Travel : This position is required to travel up to 3xs / year to Plano, TX for in-person training

Essential Duties And Responsibilities

Include the following. Other duties may be assigned, as necessary :

• Review and resolve outstanding payment issues in a timely manner
• Process accounts and incoming payments in compliance with financial policies and procedures
• Perform day to day financial transactions, including verifying, classifying, computing, posting, and recording accounts receivables data
• Reconcile the accounts receivable ledger to ensure that all payments are accounted for and properly posted
• Verify discrepancies and resolve clients' billing issues
• Facilitate payment of invoices due by sending bill reminders, contacting insurance companies, and contacting clients to resolve outstanding issues
• Identify and execute the necessary process adjustments
• Interact with customers to resolve outstanding issues
• Reviews patient information to determine if an adjustment is valid and whether additional approval is required, process all approved adjustments
• Prepare and submit clean claims to Medicare or other insurance companies, as needed
• Answer questions from patients, clerical staff, and insurance companies.
• Follow and report status of delinquent accounts.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Participate in educational activities and attends monthly staff meetings.
• Conduct self in accordance with employee manual.
• Maintain strictest confidentiality; adheres to all HIPAA guidelines / regulations.
• Perform all special projects given in a timely manner
• Performs other related duties as assigned or requested

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And / or Experience

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and / or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

Notice : Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

CSI Pharmacy is an Equal Opportunity Employer