Description
Orsini Specialty Pharmacy is a nationwide specialty pharmacy focused on providing exceptional care to patients throughout their journey. We focus on disease programs that require a high-touch patient experience and provide those we care for genuine empathy and compassion as part of our service delivery.
POSITION SUMMARY
The Medical Collections Specialist (Collector) is responsible for a broad range of collection processes related to medical accounts receivable. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. This position is currently remote due to the pandemic, with no return to onsite as of now. However, the candidate must be able to come onsite if needed.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
- Minimum 3 years of experience in patient accounts, Benefits Verification and/or collections with specialty pharmacy experience
- Familiar with AR and operational health care systems
- Experience with Microsoft applications (Excel, Word, PowerPoint, etc)
- Familiar with the authorization process, appeal process, and other processes/procedures integral to AR collection efforts.
- Experience with billing and foundation assistance application procedures.
- Able to multitask and utilize excel in a fast-paced working environment.
- Able to problem solve and assist coworkers through the thought process of solving problems.
- Collaborate on best practices for efficiency and streamline communication throughout teams.
ESSENTIAL JOB DUTIES
- Researches outstanding balances and takes necessary collection actions to resolve in a timely manner
- Researches assigned correspondence; takes necessary action to resolve requests
- Utilizes the most efficient resources to secure timely payment of open claims
- Identifies short payments, overpayments, unpaid claims, and resolves accordingly. Reviews residual balances after payments are applied and generates necessary adjustments, overpayments notifications, and refund requests
- Ability to be flexible and assist with other projects when needed.
- Troubleshoot and resolve escalated AR and manufacture issues/concerns.
- Ability to work remotely and onsite as needed
EMPLOYEE BENEFITS
- BCBSL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
