Primarily responsible for accounts receivable and collections functions for multiple orthopedic surgeons within the practice.
- Maintain insurance accounts receivable management for multiple groups, specialties, and payors
- Follow up with insurance companies on unpaid and denied claims
- Resolve claim errors and resubmit claims as appropriate for reimbursement
- Prepare appeal letters to insurance carriers when claim denials are not agreed with
- Identify and report payer issues related to denial trends or payment changes
- Maintain detailed documentation of all collection activity for each account worked
- Assist with collections efforts in accordance with company policies and procedures while maintaining legal compliance
- Support the team with additional assigned tasks as needed
- Communicate effectively with team members and management
Requirements & Qualifications
- High school diploma or equivalent required
- 2+ years of experience in A/R, collections, or denial management across multiple insurance carriers and specialties
- Strong knowledge of payers and medical insurance terminology
- Familiarity with local coverage determination policies, A/R follow-up, and managed care regulations
- Proficiency with computers, insurance web portals, and keyboarding
- Knowledge of Microsoft Excel and Word
- Athena experience is a plus
- Excellent verbal and written communication skills
- Strong attention to detail and work ethic
- Ability to organize and prioritize work to meet deadlines
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago