Qureos Mentor

AIS HealthCare

<div><div><div><div><div><div>This is a 100% remote opportunity; however, please only apply if you have3 to 5 years of medical insurance collections experience.
AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.
AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities.
AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer contribution. Additionally, we offer a 100% work from home model.
EDUCATION AND EXPERIENCE:
<ul><li>A high school diploma or general education degree (GED) equivalent is required.</li>
<li>3-5 years of healthcare industry experience required.</li>
<li>3-5 years of medical billing and collections experience required.</li>
<li>Home Infusion, Intrathecal Pain Management experience preferred.</li>
</ul>ESSENTIAL DUTIES AND RESPONSIBILITIES:
<ul><li>Recognizes patients&rsquo; rights and responsibilities and supports them in the performance of job duties, respects patient&rsquo;s rights to privacy and confidentiality.</li>
<li>Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary.</li>
<li>Evaluates payments/denials received for correctness and ensures they are applied accordingly.</li>
<li>Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures.</li>
<li>Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.</li>
<li>Processes refund requests, in accordance with policies and procedures.</li>
<li>Maintains contact with other departments to obtain patient or insurance information needed for claim payment.</li>
<li>Responsible for understanding all procedures within regulatory mandates.</li>
<li>Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.</li>
<li>Makes calls to troubleshoot payment discrepancies and establish resolution.</li>
<li>Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.</li>
<li>Consistently looks for areas to maximize claim reimbursement.</li>
<li>Resolves issues that created a denial within 5 days of receipt of denial.</li>
<li>Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.</li>
<li>Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.</li>
<li>Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.</li>
<li>Shares knowledge gained with other staff members and works as a team member.</li>
<li>Interacts with others in a positive, respectful, and considerate manner.</li>
<li>Performs other job-related duties as assigned.</li>
</ul>QUALIFICATION REQUIREMENTS:
<ul><li>Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.</li>
<li>Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.</li>
<li>Strong work ethic with personal qualities of integrity and credibility.</li>
<li>Self-directed, detail oriented, conscientious, organized, and able to follow through.</li>
<li>Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.</li>
<li>Tolerant of frequent interruptions and distractions from staff and other internal support teams.</li>
<li>Proficient in Microsoft Office, including Outlook, Word, and Excel.</li>
</ul>Steps to Apply:
To apply for this role, you must complete a Culture Index Assessment to be considered.Please note that your application will not be considered if the Assessment is not completed.
Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.
portal.cultureindex.com/public/survey/general/0BFB8F0000
AIS HealthCare&trade;is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.
We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.</div></div></div></div></div></div><div></div>

Experienced Medical Insurance Collection Specialist

<div>Fully remote and autonomous position providing infusions in the home setting for patients in the Gadsden, AL area

As a Home Infusion IVIG Registered Nurse (RN) you will work outside the walls of a hospital setting in a growing specialized area of the nursing field. If you are spending 12 hours on your feet or rushing from patient to patient with no time to provide quality patient care, this would be the perfect opportunity to change your work environment. Our nurses have the luxury of having a work life balance. Their work schedule also provides an opportunity to build one-on-one relationships with their patients.
As a Home Infusion RN you will&hellip;
<ul><li>Provide immune globulin infusion therapies in our patients' homes
</li></ul><ul><li>Make a difference by using your clinical IV experience and personal touch to assist our patients in the comfort of their own home.
</li></ul><ul><li>Provide one-on-one home infusion nursing care visits and patient education in accordance with the physician's plan of treatment.
</li></ul><ul><li>Additional licensure may be required in multi-state service areas
</li></ul><ul><li>Have excellent written and verbal customer service skills in order to interact with the patient, physician, pharmacist and other partners.
</li></ul><ul><li>Challenge your clinical nursing (RN) skills by receiving continuous training on leading edge technology and clinical requirements in specialty infusion. Certification and recertification expenses can be reimbursed for eligible RNs such as Immune Globulin Certified Nurse (IgCN)!
</li></ul>In this PRN role, you will visit patients in greater Gadsden and surrounding areas with occasional travel of up to 150-200 miles one way. Travel time is paid and mileage is reimbursed.
Registered Nurses (RN) with AIS Healthcare, have a uniquely rewarding setting to use their exceptional nursing skills. As a national leader in the home infusion / IVIG field, we seek those special RNs who not only possess strong clinical expertise with creative ideas but who also have the kind of deep compassion and sensitivity it takes to treat people in their homes.
Learn more about us: www.aiscaregroup.com
Infusion, Home Infusion, RN, Registered Nurse, IV Therapy, Home Health, Hospice, ER, Trauma, ICU, Pediatrics, PRN, Vascular Access, IV Team, Oncology, PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager
Required Qualifications:
<ul><li>Registered Nurse with current license in Alabama and the ability to be licensed in other states. Additional licensure may be required in multi-state service areas.</li></ul>
<ul><li>Minimum one year nursing experience; IV-related experience a plus</li></ul>
<ul><li>Have and maintain current CPR certification</li></ul>
<ul><li>Possess a valid and current driver's license and auto insurance (Liability limits of at least $100,000/$300,000 or $300,000 CSL and no business exclusion clause</li></ul>
<ul><li>Have experience with Microsoft Office, Excel, Outlook and Word to document and track patient care activity.
</li></ul>Preferred Qualifications:
<ul><li>Three years' nursing experience
</li></ul><ul><li>One year infusion experience
</li></ul><ul><li>Home healthcare experience</li></ul>
<ul><li>Pediatric nursing experience</li></ul>
<ul><li>CRNI or IgCN certification preferred, not required
</li></ul>Education: RN Diploma, Associates or B.S. degree in nursing
At AIS Healthcare, we go beyond the expected, giving patients and providers more of what they need to thrive. Throughout our targeted drug delivery (TDD) and infusion care divisions, we&rsquo;re committed to advancing quality and improving the lives of everyone we serve.

At our state-of-the-art compounding pharmacies, we exceed industry standards to produce medications of the highest quality and sterility. We take extra steps and make extra investments to ensure every person, every process and every protocol puts patient safety first.

Beyond our pharmacies, our skilled nursing staff provides patient-specific care services to patients across the country. From in-home Ig therapy to TDD pump refills and maintenance, our nurses are trained to do more to offer specialized care that leads to better outcomes.

Throughout the treatment process, we partner with providers to increase efficiency and enhance the care experience for everyone. We offer care coordination and patient engagement, and handle patient onboarding, billing and payment.

Inside our company, we are committed to respecting and empowering everyone who works with us and investing in our employees.</div>

PRN Home Infusion / IVIG Nurse

Join AIS HealthCare and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

AIS HealthCare

About Company

Experienced Medical Insurance Collection Specialist

PRN Home Infusion / IVIG Nurse