Specialist, Accounts Recievable

Job Title:  Specialist – Accounts Receivable

FLSA Status:  Non-Exempt

Who are we?

American Pain Consortium’s Center for Pain Management is one of the oldest free standing non-hospital affiliated pain centers in the Midwest (originally established in 1993). Our Indiana clinic footprint includes Indianapolis, Greenwood, Avon, and Lafayette, and our Ohio footprint includes Columbus, Dublin, and Springfield. We also have 4 Ambulatory Surgery Center locations. Our caregivers build strong teams that deliver exceptional interventional pain management care.

As an employer, our mission is to empower every member of our team to realize their maximum professional potential and create an environment conducive to our shared success. Our “why” centers around our 7 inspirations: the pursuit of excellence, empathy in everything we do, a culture of collaboration, open communication, creating a space for belonging, and ongoing innovation, which yields the result of bringing value.

What do we do?

Our clinical multidisciplinary approach to care delivers the correct intervention to each and every patient, each and every time through various pain management procedures including injections, open surgical cases with general anesthesia, physical therapy, and psychological services. Our Providers focus on helping individuals improve functionality to restore a more meaningful lifestyle.

Behind the scenes are APC’s support departments which include areas like Operations Support, Pre-Service, Billing, Human Resources, Marketing, and Accounting. APC values individuals with a strong work-ethic, embracing why they want to serve in the healthcare industry while maintaining a work, family, and life balance. APC is seeking an individual who is eager to learn, develop, and grow in a role in the Billing Department located in the Support Office in Carmel, IN.

Job Summary

This position is responsible for answering inbound AR related phone calls, follow up on claim rejections and denials, identifying billing issues, communicating with insurance companies for status on outstanding claims, processing and following up on appeals and resolving insurance correspondence issues.

Essential Duties & Responsibilities (What You’ll Do)

• Review, analyze, and appeal payer denials
• Unpaid claims follow up every 30 days or less
• Unpaid claims Queue follow-up daily
• Contact payers or third-party payers for claim status
• Denial trend tracking and communication with management and team
• Properly document denials and appeals in tracking log
• Processes requests for information from payers
• Review account credits for posting accuracy and initiate insurance refunds
• All other duties as assigned

 Minimum Qualifications (What We Are Looking For)

• Excellent verbal and written communication skills. 
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.
• Proficient with Microsoft Office Suite or related software.

Education and/or Experience Requirements

• Minimum 2 years’ Experience REQUIRED understanding CPT and ICD10 Coding, medical policy research, working Aged AR claim follow-up, claim rejections, electronic claim, and filing appeals with health insurance companies or other third parties to obtain claim payment.

Competencies

To perform the job successfully, an individual should demonstrate the following, which is included, but not limited, to:

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Customer Service - Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
• Respect for Others - Treats patients, physicians, and colleagues in a professional, respectful, compassionate manner
• Respect for Privacy - Handles all patient, company, and staff information in a confidential manner compliant with all state and federal regulations and the APC Code of Conduct.

Physical Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibilities

This position has no supervisory responsibilities

Benefits (Work Perks)

Included for all full-time positions

• Medical, Dental, and Vision Insurance
• Paid Time Off
• Paid Holidays
• Matching 401K plan
• Other

Equal Employment Opportunity

American Pain Consortium Management, its affiliates, and subsidiaries are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.

I have reviewed and understand these job requirements as presented to me and can verify that I can perform the minimum requirements and essential functions of this position with or without reasonable accommodations. I also understand that job duties may change with or without notice.

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