Description

Elite Sports Medicine Orthopedics is looking for an Insurance Collections Specialist. This position is a full-time in office position at our Midtown location. We are looking for someone who is great at problem solving and driven to succeed. 

Elite Sports Medicine Orthopedics offers a competitive compensation package for full-time team members including: Three Medical Plans Options, Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and retirement pan including employer match, safe harbor, and profit-sharing components.

MINIMUM ESSENTIAL JOB REQUIREMENTS

• Work Insurance Aging with a focus of 61 days and older aged accounts
• Properly communicate and document denials in the practice management system
• Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates
• Submit appeals for denied claims
• Research and resolve outstanding claim issues
• Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor
• Review payer specific communication and update necessary team members and departments
• Identify trends in denials and communicate to your supervisor
• Respond to written and telephone billing inquires from patients
• Participate in weekly team meetings
• Other miscellaneous tasks delegated by management

ADDITIONAL RESPONSIBILITIES

• Maintain patient confidentiality at all times; comply with HIPAA and other compliance guidelines established by the practice
• Maintain detailed knowledge of the practice software and other computer software and other computer software as it relates to job functions
• Attend staff meetings as scheduled
• Attend other sessions as needed to maintain continuing education as requested

KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS

• High school diploma required
• College education or trade school preferred
• Experience working in a physician office or hospital billing-type position preferred
• Orthopedic claims experience is preferred
• Proven record of discussing financial responsibilities and establishing payment plans when necessary
• Comfortable using email and interacting various applications
• Knowledge of Billing and Collections procedures
• Knowledge of CPT and ICD-1O CM coding
• Knowledge of MS Office Suite, especially Word, Excel and Outlook
• Excellent written and verbal communication abilities
• Goal-oriented and strong attention to details
• Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
• Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.