No-Fault Account Specialist

Professional Physical Therapy • Melville, NY

96d • $24 - $27

About The Position

The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, the No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution.

Requirements

• At least 2 years experience of medical billing, account receivable follow up experience required, with strong emphasis on denial management and third party policy
• Must have an understanding of clinic operations as it relates to patient registration, referrals, authorizations and cash collections
• Must possess strong leadership skills and strong attention to detail
• Must have an understanding of insurance payor reimbursement, authorization, collection practices and practice management systems
• Must have the ability to maintain the confidentiality of all records
• Must have the ability to manage multiple tasks and demands given while ensuring a high degree of accuracy and attention to detail
• Must have effective interpersonal and communication skills

Responsibilities

• Obtains all required authorizations for patients via internet and/or phone in a timely manner and at times with a sense of urgency
• Responds promptly to inquiries received from clinics either via telephone, email or tasking
• Keeps providers abreast of patient authorization status including approvals and denials
• Coordinates with clinic staff to resolve patient relationship issue as it relates to authorization management
• Contacts insurance companies and escalates issues when authorization approvals and claim payments are not timely and/or received
• Reviews work ques on a daily basis to ensure productivity standards on patient account follow up is maintained
• Assists in identifying denial trends for under and overpayments by insurance carriers and escalates as necessary
• Assists in providing resolution to unpaid, unresolved accounts with payers
• Maintain working knowledge of HIPAA, OSHA, Risk Management and Compliance practices
• Attends staff meetings and assigned training as required

Benefits

• Unmatched paid time off that includes Vacation, Sick, and Personal days
• 401k Matching - It’s never too early to start thinking about retirement!
• Comprehensive health benefits (medical, dental, vision)

What This Job Offers

• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees