Patient Accounts (Insurance Accounts Receivable Specialist)

Nebraska Orthopaedic Center•Lincoln, NE

10h•Onsite

About The Position

Nebraska Orthopaedic Center (NOC) is seeking a full-time AR Specialist to work with one of our providers who specializes in sports injuries in addition to shoulder, knee, hip, elbow, and ankle problems. We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination. Patient care is at the forefront of all tasks. Embrace change for the betterment of patient care and workflows. Willing to assist where needed on the team to cover time out of other team members. Attend required meetings and participates in committees as requested. Regular and reliable attendance is an essential function of the job.

Requirements

High School diploma or GED.
Knowledge of accounts receivable preferred.
Health insurance knowledge.
Knowledge of CPT, HCPCS and ICD-10 coding.
Knowledge of Microsoft office applications (Outlook, Word, Excel, OneDrive, OneNote, etc.) is preferred.
Experience with electronic tools to increase efficiency and complete tasks (electronic faxing, emailing, claims filing and follow up).

Nice To Haves

Looking to be part of a team atmosphere that also has individual goals.

Responsibilities

Follow up on insurance claims to ensure highest reimbursement.
Perform insurance appeals as needed.
Use a variety of tools to efficiently follow up on claims (follow up queue, websites, online chats, phone calls, emails, etc.).
Collaborate with provider representatives at insurance companies to overcome denial trends.
Answer patient, clinic and team questions about insurance coverage, pre authorizations and claims.
Communicate trends to the coding staff to increase initial clean claim rate.
Communicate with patients when they are needed to assist in a denied claim.
Handle in bound patient phone calls concerning over all account questions and takes payments as needed.
Research insurance overpayments as necessary.