Accounts Receivable Associate- Orthopedics - Medical Biller
About The Position
This position is primarily responsible for Accounts Receivable and Collections functions for multiple orthopedic surgeons within our practices. Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management, PMN&R, and Orthopedics. HPM manages 45 locations throughout Long Island, NYC, including the 5 boroughs, Westchester, NJ, CT and Upstate. We provide management services that give the physicians and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.
Requirements
- High School Diploma or equivalent required
- 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
- 2+ years of experience with A/R Collection and/or 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
- Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
Nice To Haves
- Prior work experience on Athena a plus
- Excellent communication skills, verbal and written
- Strong work ethic and excellent attention to detail, dedicated and effective team collaborator
- Ability to organize and prioritize work to meet deadlines
Responsibilities
- Maintain insurance account receivable management for multiple groups, specialties and payors
- Follow up with insurance companies on unpaid and/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
- Maintain detailed documentation of notes pertaining to all collection activity for each account worked
- Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliance
- Support/assist team with additional assigned tasks as needed
- Effectively communicate and correspond with team members and management
Benefits
- Health insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
