Medical Accounts Receivable Specialist

*Orthopaedic Medical Group is in need of someone with knowledge of Medical billing and at LEAST 2 years experience in the following position and responsibilities:* *POSITION EXPECTATIONS & RESPONSIBILITIES:* * Assist in the increase of cash collection and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician office contact.
* Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements.
* Demonstrate a working knowledge of the medical health insurance benefits provided by assigned payer and consistently and accurately explain these to patients.
* Understand and follow processes needed to ensure clean claims are submitted timely using a third party claim editor system.
* Demonstrate knowledge of insurance and billing forms and the ability to investigate and resolve debit and credit account balances.
* Ensure all AR inquiries are responded to timely and appropriately.
This includes inquiries related to denials and other "zero pay" transactions posted or not posted to the AR.
* Demonstrate basic knowledge of Microsoft Office with emphasis on the use of spreadsheets utilizing Excel.
* Ensure timely follow up with the payers and/or patients to expedite payment of claims by effectively completing assigned work list as required by Supervisor and/or Manager.
* Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management.
* Take appropriate action to resolve accounts, including, but not limited to, adjustments, changing schedules, changing FC, and moving money to appropriate buckets.
* Correct billing errors, edits, overlaps, etc.
, and submit claims electronically on a daily basis as required.
* Identify payor issues or trends and update Supervisor and/or Manager in a timely manner, providing concrete examples for Management to review.
* Review payment variances and remittances for resolution in an efficient and timely manner and process patient and/or insurance refunds.
* Document relevant activity in account notes in a clear and timely manner.
*Minimum Education and/or Experience:* * High school diploma or general education degree (GED) and * Minimum of *2 years’ experience in Medical billing,* collections and medical terminology required.
* ONLY Qualified resumes will be reviewed.
Job Type: Full-time Pay: $23.
00 - $25.
00 per hour Benefits: * 401(k) * Dental insurance * Flexible spending account * Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday Experience: * Medical billing: 1 year (Preferred) Shift availability: * Day Shift (Required) Work Location: In person