Accounts Receivable Associate- Orthopedics

Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management, PMN&R, and Orthopedics. HPM manages 50 locations throughout Long Island, NYC, including the 5 boroughs, Westchester, NJ, CT and Upstate. We provide management services that give the physicians and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.

This position is primarily responsible for No-Fault and Workers Compensation Accounts Receivable and Collections functions for multiple orthopedic surgeons within our practices.

Duties & Responsibilities

• Maintain insurance account receivable management for multiple groups, specialties and payors
• Follow up with insurance companies on unpaid and/or denied claims
• Resolve claim errors and re-submit claims as appropriate for reimbursement
• Prepare appeal letters to insurance carriers when not in agreement with claim denial
• Identify and report payer issues relating to denial trends or change in payments
• Maintain detailed documentation of notes pertaining to all collection activity for each account worked
• Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliance
• Support/assist team with additional assigned tasks as needed
• Effectively communicate and correspond with team members and management
  
  

Education & Training

• High School Diploma or equivalent required, 2 years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
  
  

Knowledge & Experience

• 2 years of experience with No-Fault & Workers Compensation AR/Collection and Denial Management across multiple insurance carriers and specialties
• Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
  
  

Skills & Abilities

• Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
• Prior work experience on Athena a plus
• Excellent communication skills, verbal and written
• Strong work ethic and excellent attention to detail, dedicated and effective team collaborator
• Ability to organize and prioritize work to meet deadlines
  
  

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 25 pounds at times.
  
  

Schedule: Monday-Friday, 40 hours per week

Pay: $24 - 26/hour