Insurance AR Specialist

Medical Insurance AR Specialist

Olympic Sports and Spine (OSS) is looking for an experienced Medical Insurance A/R Collections Specialist. This position is responsible for medical insurance follow-up to ensure accounts have been appropriately billed and reimbursed. Duties include contacting assigned insurance companies to secure and expedite payments through the insurance follow-up and appeals process. Experience in patient accounting functions, including billing, follow-up, collections, addressing patient concerns, cash application, and resolving credit balances, is preferred. We want a candidate who excels at working in a fast-paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients, being a great employer to our employees, and wants a job with no weekends required (Monday - Friday, 8 am - 5 pm.).

SUMMARY OF DUTIES:

• Review patient financial information to verify that third-party payer requirements have been met and that financial coding is correct.
• Audit information on third-party claim forms for accuracy and completeness; transmit claims to third-party payers, including using a direct entry claims interface system.
• Prepare and input allowances and adjustments to patient accounts according to third-party payer requirements and department procedures.
• Access major payers' computer files online to obtain eligibility and claim processing information.
• Contact patients and payers by telephone to resolve account balances.
• Process appropriate transactions to correct inaccurate account balances.
• Prepare correspondence to address account concerns.
• Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedure based on departmental guidelines.
• Analyze financial information provided by patients to determine their ability to make payment; advise patients on appropriate payment plans.
• Prepare accounts for transmittal to collection agencies when department collection efforts are determined to be unsuccessful.
• Process according to department procedure accounts that have been identified as returned mail, bankrupt, or deceased patients.
• Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Extensive insurance billing, follow-up experience,
• Previous experience working in health care insurance follow-up (is preferred, but not necessary),
• Experience in patient accounts receivable/collections (is preferred but not necessary),
• Strong interpersonal skills, sound judgment & decision-making, and strong analytical skills.
• Persuasive customer service skills,
• Effective written and oral communication skills,
• Capable of working independently,
• Ability to prioritize and organize daily tasks,
• Ability to always represent OSS professionally,
• Secure patients' demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulations.

BENEFITS:

Check out our benefits page for more information about our Benefits and Rewards. https://www.osstherapy.com/employee-benefits

Equal Opportunity Statement

We are an equal opportunity employer and value diversity at our company. We do not discriminate based on age, ancestry, citizenship, color, ethnicity, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or invisible disability status, political affiliation, veteran status, race, religion, or sexual orientation.

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As part of our commitment to maintaining a professional, compliant, and high-integrity workplace, all employment offers at Olympic Sports & Spine are contingent upon the successful completion of a comprehensive background screening. This process may include, but is not limited to, verification of prior employment and education, a credit check (if relevant to the position), criminal history review, and reference checks.

By submitting your application, you acknowledge and consent to this screening process. Please note that any offer of employment will remain conditional until the screening is complete and the results meet the standards set by Olympic Sports & Spine.

Olympic Sports & Spine is an equal opportunity employer and conducts all background screenings in compliance with applicable federal, state, and local laws.