A/R Denials Specialist
About The Position
Since 1995, South Florida Orthopaedics and Sports Medicine has been dedicated to providing comprehensive orthopaedic care for patients on the Treasure Coast. As our practice continues to grow, we are seeking experienced Accounts Receivable Representatives to join our team. South Florida Orthopaedics and Sports Medicine is a progressive, friendly office offering competitive compensation and a comprehensive benefits package including medical, dental, vision, 401k, paid time off, etc. We offer a modern work environment with up-to-date technology and opportunities to expand your knowledge in the field of medical accounts receivable. Please visit our website, www.southflaortho.com/join-our-team to learn more about our practice. In this role, you will be responsible for monitoring and managing insurance payments, denials and accounts receivable balances. You will work with Medicare, commercial payers and patients to ensure that account balances are paid in a timely manner. When necessary, you will resubmit claims and file appeals. You will be expected to identify uncollectible accounts and make recommendations to management. Our AR Denials Specialists are allowed to employ a high degree of independence and autonomy in completing their work. You will enjoy the benefits of working with an experienced team and you will be supported by a supportive management team who will guide you as you learn and grow with our practice. Our AR team participates in regular webinar training opportunities to assist them in keeping in step with industry trends and changes. This is a full-time position in our Stuart office, Monday through Friday, 8:00 am – 5:00 pm.
Requirements
- Demonstrated knowledge and experience in successfully collecting outstanding medical accounts receivables is required.
- Recent experience writing and filing appeals with Medicare and commercial insurance payers is required.
- Experience using payer portals to look up claim status.
- Current experience with an EMR/PM, especially NextGen, is required.
- Must be able to understand and interpret an EOB.
- Solid keyboard skills and experience with Microsoft Office is required.
- Electronically savvy – file electronic appeals, conduct internet research on outstanding claims, work within multiple computer systems on a daily basis.
- Must be an analytical thinker and be able to demonstrate solid problem-solving skills.
- Solid math skills.
- Outstanding written and verbal communications skills.
- Must demonstrate a customer-service focused mindset.
Nice To Haves
- Experience in orthopaedics or other surgical practices is highly desired.
- Coding experience with knowledge of proper modifier usage is strongly preferred.
- Understanding of physical and/or occupational therapy claims is highly desired.
- Knowledge of filing worker compensation and auto insurance claims is highly desired.
Responsibilities
- Monitoring and managing insurance payments, denials and accounts receivable balances.
- Working with Medicare, commercial payers and patients to ensure that account balances are paid in a timely manner.
- Resubmitting claims and filing appeals when necessary.
- Identifying uncollectible accounts and making recommendations to management.
Benefits
- medical
- dental
- vision
- 401k
- paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
