Medical Accounts Receivable Specialist-Orthopaedic Medical Group Surgery Center

Job Overview

Orthopaedic Medical Group of Tampa Bay is a fast-paced and well-established Orthopaedic practice with 9 locations, and one ambulatory surgery center (ASC). The Medical Accounts Receivable Specialist is responsible for knowing the full accounts receivable cycle. The primary responsibility of this role will be to follow up on unpaid and underpaid claims over 31 days old.

The Medical Accounts Receivable Specialist will be responsible for documenting patient accounts with claim status, composing targeted appeals for claims that have either denied or not paid appropriately, and researching and reporting denial trends to management.

Job Duties:

• Reviews outstanding insurance claims and contacts carrier for resolution prior to patient billing.
• Contact patients for updated insurance information when necessary.
• Updates and re-bills as appropriate.
• Reviews all rejected claims and appeals when appropriate.
• Initiates refund requests when necessary.
• Work new and old AR; work closely with payers, file and follow-up on appeals; work insurance denials and zero pays.
• Work correspondence and credit balances.
• Answer incoming patient calls with billing related questions/take patient payments.
• Make outbound patient calls with any account issues.
• Maintains confidentiality of all patient and financial information.
• Adheres to company policy in maintaining an acceptable attendance/tardy record.
• Assist the Business Office Manager on special projects as needed

Qualifications:

• High School Diploma
• Minimum 1 year experience in medical billing and collections required.
• 3 years’ experience in Medical Accounts Receivable preferred.
• Knowledge of reimbursement guidelines, CPT and ICD-10codes, payor contracts and plans.
• Excellent communication, organization, and computer skills.
• Detail and customer service oriented.

Physical Requirements:

• Requires sitting and standing associated with a normal office environment.
• Manual dexterity needed for using a ten-key calculator and/or computer keyboard.
• Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

• Normal office environment.
• The noise level of the work environment is usually moderate.

Work Remotely: No

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Medical billing: 1 year (Required)
• Accounts receivable: 1 year (Required)
• Medical office: 1 year (Required)

Ability to Commute:

• Lithia, FL 33547 (Required)

Work Location: In person

Pay: $19.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Accounts receivable: 1 year (Required)
• Medical billing: 1 year (Required)
• Appeals: 1 year (Preferred)

Ability to Commute:

• Lithia, FL 33547 (Required)

Work Location: In person

Salary : $19 - $23