Medical Accounts Receivable Specialist - Home Infusion

Prosper Infusion is a national home infusion company located in Tampa, FL that is seeking a  Medical Accounts Receivable Specialist. This is an in-office position.

Follow up of aging A / R of assigned payers. Responsible for handling all correspondence related to an insurance or patient accounts, contacting insurance carriers and patients as needed to secure maximum payment. Identify and report issues or trends to Management for review and assistance.

Duties and Responsibilities :

• Possess complete understanding of the billing / collection process to resolve outstanding claims.
• Follow-up on Accounts Receivable / Insurance Aging for claims aged past 45 days.
• Research and resolve accounts appearing on Delinquent Insurance report and Collection Ledger.
• Read and interpret Insurance Explanation of Benefits for proper adjustment and patient balances.
• Handle submission of corrected claims and any claims rejected by assigned insurance payers.
• Dispute and / or appeal denied claims with frequent follow up with payers and / or patients on outstanding accounts.
• Escalate complex claims issues and / or trends directly to the Billing Director.

Skills / Requirements :

Education and Experience :