Healthcare Accounts Receivables Specialist

Position Overview

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 is paid promptly and correctly by insurance plans. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience is preferred.

Key Responsibilities

• Ensures daily accomplishments work towards company goals for cash collections, A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental targets.
• Demonstrates strong skills and knowledge in collections and timely follow-ups with insurance companies for positive outcomes.
• Processes unpaid claims quickly to ensure proper handling by branch and billing personnel, making necessary demographic changes to reduce claim rejections.
• Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets.
• Submits 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 under stressful situations.
• Works overtime when necessary to meet department goals and objectives.
• Performs other tasks or special projects as assigned.

Required Qualifications

• High School Diploma or equivalent (GED) required.
• Excellent interpersonal, communication, and organizational skills required.
• Ability to prioritize, problem solve, and multitask is required.

Preferred Qualifications

• College degree preferred in accounting or business.
• 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.