Accounts Receivable Specialist
About The Position
About us : New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes.
Requirements
- Minimum of 3 years’ experience in medical insurance collections.
- Proven experience handling a wide range of insurance denials.
- Experience with Independent Dispute Resolution (IDR) billing is a plus.
- Excellent organizational and communication skills with strong attention to detail
- Ability to work independently and collaboratively within a team environment
- Proven ability to prioritize tasks and manage multiple responsibilities in a fast-paced setting
- Proficient in computer applications with solid analytical and basic mathematical skills
- Working knowledge of CPT and ICD-10 coding
- Understanding of in-network and out-of-network claim processing guidelines and protocols
Nice To Haves
- Certified Professional Coder (CPC) certification plus
Responsibilities
- Reviewing Explanation of Benefits (EOBs) to ensure accurate contracted and non-contracted payments.
- Processing daily correspondence to ensure timely and appropriate claim resolution.
- Preparing and submitting written appeals with supporting documentation.
- Requesting and obtaining medical records to support appeals.
- Managing accounts with receivable aging reports to resolve outstanding balances.
- Meeting regularly with physicians to review A/R status and address problem accounts.
- Preparing refund request letters and write-off requests with supporting documentation.
- Communicating directly with insurance carriers regarding claims adjudication.
- Performing additional duties as assigned, including managing special aging accounts.
Benefits
- Comprehensive Health Benefits: Medical, Dental , and Vision Coverage
- Voluntary Benefits: Options include Aflac (short-term disability, hospital, accident, and cancer coverage), long-term disability, life insurance, and pet insurance.
- Paid Time Off: 19 PTO days per year, in addition to 8 paid holidays.
- Retirement Benefits: 401(k) plan with a discretionary company match.
- Cosmetic & Med Spa Perks: Employee discounts on services and products at Deep Blue Med Spa.
- Additional discounts through PLUM and Work Advantage programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
