Co-Pay Assistance Collections Specialist

PromptCare seeks a highly motivated, experienced, and detail-oriented Co-Pay Assistance Specialist to join our AR Infusion team. The Specialist will oversee the billing and collections of patients’ pay accounts. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. 

Report to: Accounts Receivable Infusion Manager

Job Type: Full-time, 40 hours per week, Monday-Friday, flexible eight (8) hours shifts earliest starting at 8:00am 

· High School Diploma or equivalent

· 2-3 years of experience in electronic claims submission and medical collections preferred

· Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred

· Industry experience with billing/collections in DME, home infusion and/or enteral preferred

· Accounts receivable and accounting experience preferred

· Knowledge of CPR+ software preferred

Job Responsibilities, included but not limited to:

· Ensure timely and accurate submission of patient statements

· Ensure proper follow-up is performed on all outstanding balances

· Evaluate eligibility for Copay Assistance & Hardship Program and identify possible funding sources

· Follow internal and external policies and procedures

· Escalate problems as necessary to ensure timely resolution

· Ensure balances that are billed to a patient are appropriate by reviewing the primary payer EOB and other account information as necessary

· Maintain the patient billing phone line and answer and respond to patient questions and concerns in a timely manner

· Submissions & Collections of Copay Assistance Payor accounts for assigned payers

· Re-enroll patients yearly for Copay Assistance and Hardship Programs

· Additional duties as assigned

Physical Demands

The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. 

Benefits & Perks

· Comprehensive Medical, Dental, and Vision Package

· 401(k) Plan with Company Match

· Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays

· Life Insurance: Standard coverage with optional enhancements

· Employee Assistance Program: Free counseling and coaching sessions

· Emotional Well-being and Work-Life Balance Resources

· Short & Long-Term Disability: Company-paid with optional supplements

· Accidental Death and Dismemberment Insurance

· FSA and HSA: Manage healthcare expenses

· Commuter Spending Programs

· Volunteer and Engagement Opportunities

· Employee Referral Bonuses

· Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity 

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.