WHO WE ARE

PromptCare is a leading provider of home respiratory and infusion services, serving pediatric and adult patients in 30+ states from 36 locations throughout the United States. Our Hi-Tech, Hi-Touch care offerings deliver superior patient care and outcomes making PromptCare a preferred partner for hospitals, physicians, and payors. PromptCare currently services 6,400+ respiratory patients, 2,500+ infusion patients, and 4,400+ enteral nutrition patients. We estimate that we are the largest provider of ventilation care to pediatric patients in the U.S. Our mission is to be the preferred choice for superior management of complex cases, providing unsurpassed clinical expertise, reliable service, and boundless compassion in transitioning patients to the home setting and reuniting them with their loved ones. Our Differentiation consists of an unrivaled team of respiratory therapists, nurses, dietitians, pharmacists, and other care professionals who provide highly sought-after expertise, advice, and patient care. We are the “go-to” provider in our markets among leading pediatric hospitals and care facilities to handle the most acute patient situations. PromptCare holds an expansive payer network participation, supported by a robust billing & collections operation.

PromptCare is looking for an Accounts Receivable Specialist to join our AR Team. This is a full-time position, 40-hours per week, Fully Remote, Monday-Friday. Must reside in Central or Eastern Time Zone.

Summary

The position will entail the oversight of billing and collections of third-party payor accounts for assigned payers. Ensure timely and accurate submission of claims and collections for the assigned payers. Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research. Understand and communicate changes in payer guidelines and policies and be able to evaluate the effect of such changes. Follow internal and external policies and procedures. Escalate problems as necessary to ensure timely resolution. Ensure proper revenue is booked by monitoring payments, fee schedule changes, policy changes and other aspects that affect revenue, cash collections and adjustments. Be an expert in the knowledge of assigned payor policies, reimbursement and requirements.

• High School Diploma or equivalent. Bachelor’s degree preferred
• Excellent oral and written communication skills are required to communicate with patients, colleagues management, and insurance plan representatives .
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence,
• Strong work ethic with attention to detail and quality, is required.
• Ability to identify and address issues independently.
• Previous experience in DME is preferred.
• Medical Reimbursement knowledge is preferred.
• Brightree experience is preferred.

Job Responsibilities, included but not limited to:

• Maintain and update shared documentation to assist Customer Service with the various policies, rules and limitations for insurance plans.
• Identify adjustments, payment trends and denials and ensure problems are escalated as necessary.
• Maintain confidentiality in all aspects of patient care, employee activities and office environment.
• Communicate changes regularly or as often as needed.
• Work collaboratively with other department staff such as CMN Specialist and Reauthorization Specialist to ensure timely collections.
• Perform Brightree related transactions accurately and timely.
• Contact patients as needed regarding account issues.
• Perform other duties as assigned.

Benefits & Perks

• Competitive Salary
• Medical, Dental, Vision Package
• 401(k) plan (discretionary)
• PTO - Vacation, Sick and Personal days, and paid holidays
• Referral bonuses & Plum Benefits Discount Ticket Program
• Lunch & Learn Programs
• Employee Recognition Program

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.