Healthcare Accounts Receivables Specialist
At a glance
Mid-level Accounting role at Prosper Infusion. Westchase · full-time · no salary stated · we estimate $75,981–$135,000 across the United States.
Prosper Infusion has not published a salary for this role. The figure below is our estimate, not theirs.
financeroles summary, based on the employer's posting.
What you'll do
- Track collections, aging receivables, ready-to-bill work and close activities against department targets
- Follow up with insurers and move unpaid claims toward resolution
- Correct patient details that cause electronic or paper claim rejections
- Spot branch gaps in registration, billing records and delivery tickets, then flag them
- Prepare secondary claims with payer-required documents when needed
What you bring
- A high school diploma or GED is required
- You bring strong communication, organization and interpersonal skills
- You can prioritize competing tasks, solve problems and handle multiple demands
Who this fits
This role suits someone comfortable working to deadlines and handling stressful situations. You may need to work overtime to meet department goals. Home infusion billing and collections experience, along with familiarity with managed care, commercial insurance and Medicare reimbursement, is preferred.
From the employer
Prosper Infusion is looking for a Healthcare Accounts Receivables (AR) Specialist to help manage our accounts receivables and unpaid claims. This position will work directly with our AR Lead to ensure the company its paid promptly and correctly by insurance plans. 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.