Collections and Payments Specialist at Nira Medical | Torre
Collections and Payments Specialist
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Nira Medical

Collections and Payments Specialist

Nira Medical
Emma
Emma
You'll drive critical revenue cycle success, enabling life-changing neurological and rheumatic patient care.
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Full-time

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Emma of Torre.ai
 about 2 months ago

Requirements and responsibilities

Position SummaryThe Collections and Payments Specialist is responsible for the performance of a broad range of collection activities related to obtaining payment for past due health insurance claims. The Collections and Payments Specialist will maintain expertise in organizational collection policies, dispute resolution, appeals management, and payment reconciliation in order to support a best-in-class patient care platform. The Collections and Payments Specialist will also demonstrate proficiency in multiple applicable software systems in addition to growth in areas supporting physician services including physician-administered drugs, imaging, and other ancillaries.Responsible ToDirector, Revenue Cycle ManagementEducation/ExperienceHigh School Diploma or equivalent (GED) requiredPrior physician office and infusion drug experience highly preferredSkillsExcellent interpersonal, communication and organizational skills requiredAbility to prioritize, problem solve, and multitask is requiredMajor ResponsibilitiesProactively performs collections activities in accordance with established guidelines to interact with third party payors and patients for the purpose of collecting past due health insurance claimsAchieves daily accomplishments that produce progress towards monthly, quarterly and annual cash collection and accounts receivable goalsActively engages in assigned quality assurance tasks to safeguard accurate and timely collections creation including compliance with organizational policies and payor guidelinesIdentifies and researches validity of past due and/or disputed claims to expedite appropriate action in securing timely paymentIdentifies areas of opportunity or potential patterns of noncompliance during normal course of responsibilities and escalates appropriately for reviewNegotiates payment plans, partial payments and extensions of credit with appropriate reports for escalation to management reviewPerforms other duties as required.
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