Collections Specialist

Company Description:

Motion Orthopedics is a rapidly growing orthopedic practice founded in 2010. We provide top-notch orthopedic care and handle billing services for multiple physicians and Physician Assistants. 

Location: Garden City, New York

Summary: As a Collections Specialist, you will play a crucial role in following up with commercial insurance companies on unpaid medical bills. Your responsibilities will include reviewing medical documentation, calling and emailing insurance carriers to find issues preventing our bills from being paid, and resolving those issues. 

Job Responsibilities:

• Request additional medical records as needed to complete documentation requirements.
• Review the patient's Electronic Medical Records (EMR) to gather information
• Communicate collections issues to the Billing Manager and Physicians when necessary.
• Ensure pre-certifications/authorizations are valid for the performed procedures.
• Assist in resolving billing issues, such as rejections and non-paid accounts.
• Stay updated on changes in legislative regulations affecting collections

Required Education & Experience:

• High School diploma/GED
• One (1) years of experience in health insurance billing or reimbursement

Additional Skills

• Advanced knowledge of collections (Orthopedics) 
• Advanced knowledge of ICD-10-CM, CPT, third-party procedures, and requirements regarding benefit structures, insurance verification, referrals, and authorizations
• Familiarity with electronic health records (EHR)
• Intermediate proficiency with office software (Microsoft Office)
• Excellent verbal and written communication skills
• Excellent interpersonal skills
• Strong critical thinking skills
• Ability to maintain confidentiality and professionalism
• Ability to work independently with minimal supervision
• Ability to analyze and make recommendations based on documentation and data
• Ability to convey complex or technical information in an easy-to-understand manner

We offer a comprehensive benefits package that includes paid holidays, 3 weeks vacation, and 5 sick days, as well as healthcare and financial wellness benefits. Compensation for this role will be determined based on the candidate's qualifications, skills, competencies, and experience.

Motion Orthopedics is an equal opportunity workplace and an affirmative action employer. We value diversity and do not discriminate on the basis of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. Please note that we participate in E-Verify to ensure authorization to work in the U.S.

If you're ready to join a dynamic and growing orthopedic practice and make a difference in healthcare billing and coding, apply today!