Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.
As a core member of the RCM team, you will be expected to oversee the billing of Accounts Receivable, including Medicare, Medicaid, commercial insurance and patient balances. We will help you achieve your goals through continuous professional development and regular career progression discussions.
- Ensure that all operations work towards company goals for cash collections and accounts receivable over 90 days.
- Supervise the process of billing and assist with receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable.
- Identify inefficient processes and make recommendations to automate or eliminate.
- Review and post adjustments within eligible range.
- Monitor Ready to Bill to ensure inventory of unbilled remains less than 14 days.
- Conduct monthly audits of a sample of accounts to assess biller performance.
- Monitor payer websites for updates and communications; make recommendations on changes in billing procedures to ensure timely payment of claims.
- Monitor workload of staff; make promptrecommendations to management of staffing needs.
- Identify patterns of short-payment, overpayment or non-payment and bring them to the attention of the appropriate specialist.
- Work with the cash posting team to ensure proper application of cash receipts.
- Contact payers to secure copies of missing remittance documents.
- Monitor the adherence to all applicable state and federal regulations and company policies.
- Implement and coordinate training program for Billing, Team Leads, Specialists and Claims Processing Specialists.
- Assist with competency testing for all training materials.
- High School diploma/GED or equivalent required; Associate’s degree in Business, Accounting, Finance or a related field a plus
- A minimum of 3 years of experience in medical billing, with at least 2 years in a supervisory role
- Working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement and Cash Applications
- Home Infusion experience a plus
- Solid Microsoft Office skills
- Strong verbal and written communication skills
- Ability to independently obtain and interpret information
- Knowledge of CPR+ software a plus
- Flexible schedule with the ability to work evenings and weekends as needed