Workers' Comp Accounts Receivable Specialist

iSpine Clinics•Maple Grove, MN

16h•Onsite

About The Position

The Work Comp Accounts Receivable Specialist maximizes reimbursement by working with workers' compensation carriers, attorneys, employers, and other third parties to resolve payment issues. The position reports to the Revenue Cycle Accounts Receivable Lead and works with adjusters, attorneys, providers, and other parties to protect the company’s interests and ensure accurate payment. The role is performed in an environmentally controlled office in person in Maple Grove, Minnesota. It involves working under pressure and interacting with a diverse population, including staff, physicians, clients, patients, insurance companies, and members of the public. The position may require occasional driving to other locations.

Requirements

At least 3 years of accounts receivable experience in a healthcare office, or 1 year dedicated to workers' compensation payers.
At least 1 year of workers' compensation experience.
Working knowledge of workers' compensation billing, arbitration, interventions, litigation, and Spaeth balances.
Working knowledge of ICD, CPT, and HCPCS codes and modifiers, and how each code set is applied.
Ability to establish and maintain effective working relationships with patients, staff, and the community.
Skill in identifying and resolving problems.
Ability to read, write, and communicate effectively orally and in writing.
Proficiency operating a computer and other office equipment.
Ability to sit for extended periods and to push, pull, reach, and occasionally bend, stoop, and stretch.
Current and valid driver's license, as the position may require occasional driving to other locations.
Ability to commute to Maple Grove, MN 55369.

Responsibilities

File interventions, calculate Spaeth balances, and negotiate settlements when appropriate.
Work with insurance adjusters, attorneys, and other third parties by mail, email, fax, or phone to protect corporate interests.
Collaborate with attorneys and providers on narratives, depositions, and related matters.
Resolve outstanding workers' compensation insurance claims and reconcile accounts to ensure correct payment and dismissal of denials.
Keep work queues and/or due dates current within three business days.
Research duplicate payments and process refunds when appropriate.
Re-file claims when necessary and appropriate, only after contacting the payer.
Understand and adhere to payer policies and protocols.
Identify payer non-payment trends and work with the lead or manager to resolve them.
Keep the lead or manager informed of internal or external issues and concerns that prevent or disrupt daily workflow.
Perform other duties as assigned.