Accounts Receivable Associate- No Fault
About The Position
Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ, CT, and Upstate NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. This position is primarily responsible for overseeing the Accounts Receivable and Collections functions for our family of companies.
Requirements
- High School Diploma or equivalent required
- 2+ years of experience with A&R & Denial Management across multiple insurance carriers and specialties
- Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
- Knowledge of ICD-10 and CPT codes
- Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
- Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
- Detail oriented and strong team player
- Superior customer service and communication skills
- Self-starter with strong problem-solving skills
- Ability to meet high productivity and accuracy standards
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 25 pounds at times.
Responsibilities
- Maintain insurance account receivable management for multiple groups, specialties and payors
- Follow up with insurance companies on unpaid or denied claims
- Resolve claim errors and re-submit claims as appropriate for reimbursement
- Prepare appeal letters to insurance carriers when not in agreement with claim denial
- Identify and report payer issues relating to denial trends or change in payments
- Recommend account adjustments as appropriate
- Maintain appropriate documentation and notes of all collection activity
- Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliancy
- Supports/assists team with additional assigned tasks as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1-10 employees
