If you are looking for a rewarding career that contributes to helping people restore their active, pain-free lives, consider joining the Kayal Orthopedic Center team. We currently have an exciting opportunity for a Medical A/R Specialist in our Glen Rock, NJ office.

Summary:. Posting charges and Collection of money due from aging report

Duties:

The AR specialist will generally act as an intermediary between our patients and their health insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations.

You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments.

Proficiency in the following areas is preferred:

• Post all daily charges for all assigned providers.
• Work on aging report for Medicare and Medicare Advantage plans.
• Communication with assigned providers to help improve their documentation ad coding.
• Speak to the patients about their balances for services and resolve any discrepancies.
• Train new employees coding in order to remain consistent across the Practice.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, and other payer requirements and systems.
• Knowledge of Orthopedic/Physical Therapy CPT and ICD-10 Coding, as well as modifiers and CCI edits.
• Understanding various fee schedules, including but not limited to UCR, Medicare allowable rates, NJ PIP, etc.
• Knowledge and understanding of explanation of benefits (EOB).
• Effective verbal communication with insurance payers to resolve issues.
• Ability to write solid appeal letters.
• Customer service skills for interacting with patients regarding medical claims and payments.
• Ability to work well in a team environment, ability to prioritize and time manage.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• Knowledge of medical terminology.
• Competent use of Microsoft Office.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Ability to multitask.
• Other office duties as assigned.
• Treat all staff and patients with respect and dignity.

Skills

Oral and written Communication

Technical Communication

Customer Service, diplomacy, organization, planning, professionalism, time Management

Computer Literacy

Education/Training:

Degree: High School Diploma or Equivalent

Experience:

2 Medical A/R experience required.

When you join one of our 10 conveniently locations, you become a part of Kayal Orthopedic Center unrivaled record of achievement, education and advancement as we revolutionize healthcare together. We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.

Kayal Orthopedic Center is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation

To learn more visit kayalortho.com/about/careers

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Desired hourly rate

Experience:

• Medical A/R: 1 year (Required)

Work Location: In person