Accounts Receivable Coordinator - Workers Compensation

Northeast Orthopaedic Alliance PLLC•Concord, NH

8d•Onsite

About The Position

Concord Orthopaedics (COPA), a division of Northeast Orthopaedic Alliance, has been the region’s trusted provider of orthopaedic care for decades. We are dedicated to delivering exceptional care through teamwork, innovation, and compassion. Join our team and be part of a supportive environment where your work directly contributes to the quality of patient care. The Workers’ Compensation Accounts Receivable Coordinator is responsible for ensuring appropriate reimbursement from assigned insurance carriers for all physician services. This role requires strong knowledge of NH State Workers’ Compensation process, billing, surgical and office coding and appeals, along with excellent organizational and communication skills.

Requirements

High School Diploma required.
Strong typing, computer, documentation, and analytical skills.
Excellent communication, time management, and organizational abilities.
Ability to work effectively as part of a team and maintain professionalism in a fast-paced environment.
Strong attention to detail and accuracy.

Nice To Haves

Medical office and surgical billing experience preferred.
Knowledge of the NH State Workers’ Compensation process, along with associated legal and medical terminology preferred.

Responsibilities

Manage daily claims worklists to confirm claims are processed and reimbursed correctly.
Review and interpret Explanations of Benefits (EOBs) for accuracy in payment posting, patient balance transfers, and denials.
Responsible for claim follow-up for claims not paid per State of NH Labor Laws, to include follow-up with adjusters or insurance carriers and appealing when necessary.
Responsible for processing all notices of claim denials, to include a review & updating of the confirmed claim, notice to provider as necessary, and billing the services to the patient’s private health insurance.
Utilizing payer websites and calling adjusters and representatives for clarification of claim denials or status of pending claims.
Handle inbound calls as part of the Business Office phone queue, assisting patients, insurance representatives, and referring offices.
Participate in monthly Business Office team meetings.
Provide cross-coverage support for other business office functions as needed.