Job Description

Upstate Orthopedics is looking for skilled and experienced medical AR specialist who can effectively and aggressively pursue outstanding AR and consistently generate revenue through professional billing practices and proper and ethical collection efforts.

WORK FROM HOME options are available for AR staff once fully trained. Training takes place in the office.

Job 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:

• Knowledge of insurance guidelines, payer requirements, and carrier systems.
• Knowledge of Orthopedic CPT and ICD-10 Coding, as well as modifiers and CCI edits.
• Understanding various fee schedules.
• Knowledge and understanding of explanation of benefits (EOB).
• Effective verbal communication with insurance payers to resolve issues.
• Ability to write solid appeal letters.
• Excellent 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.

Experience/Education

Associates Degree

Minimum of two years Medical Billing/Accounts Receivable experience

Job Type: Full-time

Pay: From $18.00 per hour

Expected hours: 40 per week

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Office

Education:

• High school or equivalent (Preferred)

Experience:

• Medical Office: 1 year (Preferred)
• No Fault/Worker's Compensation Insurance: 1 year (Preferred)
• Administrative: 1 year (Preferred)

Work Location: In person