This position is primarily responsible for Accounts Receivable and Collections functions for multiple orthopedic surgeons within our practices. Duties & Responsibilities: - Maintain insurance account receivable management for multiple groups, specialties and payors
- Follow up with insurance companies on unpaid and/or denied claims
- Resolve claim errors and re-submit claims as appropriate for reimbursement
- Prepare appeal letters to insurance carriers when not in agreement with claim denial
- Identify and report payer issues relating to denial trends or change in payments
- Maintain detailed documentation of notes pertaining to all collection activity for each account worked
- Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliance
- Support/assist team with additional assigned tasks as needed
- Effectively communicate and correspond with team members and management
Education & Training:
- High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
Knowledge & Experience:
- 2+ years of experience with A/R Collection and/or Denial Management across multiple insurance carriers and specialties
- Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
Skills & Abilities:
- Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
- Prior work experience on Athena a plus
- Excellent communication skills, verbal and written
- Strong work ethic and excellent attention to detail, dedicated and effective team collaborator
- Ability to organize and prioritize work to meet deadlines
Physical Requirements: - Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 25 pounds at times.
Schedule: Monday-Friday, 40 hours per week
Pay: $24 - $28 per hour Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management, PMN&R, and Orthopedics. HPM manages 45 locations throughout Long Island, NYC, including the 5 boroughs, Westchester, NJ, CT and Upstate. We provide management services that give the physicians and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.
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