AR Coordinator

Alliance Spine and Pain Centers•Atlanta, GA

22d

About The Position

Take charge of your future with “ The Future of Pain Relief” , Alliance Spine & Pain! PTO MEDICAL DENTAL 401k $25k LIFE INSURANCE We are a thriving Outpatient Pain Management Practice who seeks qualified & dynamic Healthcare Professionals! 8 Major Holidays off, no weekends, no overnights and you'll never be On-Call! If you are a Patient Navigator looking for a career you can grow in and work alongside some of the top providers in the area, then Alliance Spine and Pain Centers is the right place for you. This is full-time position that offers a great benefits package! Job Summary Under the general supervision of the AR Team Lead, this individual is responsible for performing resolution oriented follow up activity for government and third party payors as well as special accounts receivable projects.

Requirements

High school diploma or General Education Degree (GED).
Minimum five (5) years of medical billing and collections experience necessary.
Must be knowledgeable of reimbursement processes and procedures.
Business knowledge and results oriented.
Experience in medical billing and collections.
Demonstrated ability to effectively investigate, analyze and problem solve.
Knowledge of HMO, PPO, Managed Care, Indemnity and Government plans is required.
Ability to interpret carrier policies and rules/regulations set by Medicare, Medicaid and Commercial Payors.
Knowledge of CPT-4, ICD-10 and medical terminology required.
Excellent communication, time management, and organizational skills.
Possess ability to communicate appropriately and effectively.
Ability to organize, prioritize and manage various work assignments in a fast paced environment.
WORD and Excel experience preferred.
Insurance and Medical Billing background required.

Responsibilities

Work individual portfolio of accounts through final resolution.
Achieve productivity goals.
Research all denials and follow-up as necessary and act as a first point of escalation for denied claims requiring payer related reconsideration or redetermination
Assess insurance reimbursement for portfolio of accounts to ensure maximum reimbursement.
Communicate identified trends that impact cash collections negatively to Management.
Complete payer clerical reopening
Initiate reconsideration appeals and ensure all required documentation is submitted in the appeals process.
Research and follow up on all correspondence associated with assigned accounts, including EOB’s and documentation letters, and generate correspondence requesting required information, when necessary.
Generate reports identifying trends or problem carriers, identify areas of concern and present ideas to correct or prevent future issues.
Must maintain a high degree of confidentiality at all times due to access to sensitive information.
Responsible for performing all duties in accordance with Company policies and procedures.