Accounts Receivable Specialist

Position Title: Accounts Receivable Specialist

If you interested in working for a people-first, rapidly growing medical services company operating in twenty-seven states, please consider Neuromonitoring Associates, LLC. We are an acclaimed organization working with neuro and orthopedic surgeons at some of the most prestigious medical centers in the world. We seek the best and the brightest to work with our patients to provide a world-class patient experience.

POSITION SUMMARY

The Medical Accounts Receivable Specialist is responsible for evaluating medical insurance cases that are denied coverage and researching whether the case merits an appeal. They support the billing department in meeting expectations regarding efficiency, privacy maintenance and quality of decision making. They initiate follow-up phone calls on accounts following departmental policy and procedure and best-practices. It is expected that they project a professional company image through in-person and phone interactions.

PRINCIPLE ACCOUNTABILITIES

Review patient accounts to determine whether all relevant information has been submitted

Identify and report payer denial, payment; recoupment trends and/or out of network errors with carriers to designated associate

Manage the flow and subsequently evaluate, research and process all appeals, grievances and provider review requests according to payer specific guidelines

Conduct appropriate investigation of all appeals

Interact with payers to resolve outstanding / denied claims issues, send statements and make collection calls

Prepare appropriate written documentation and maintain necessary files

Initiate follow up phone calls on all necessary accounts

Follow up on all written and telephone correspondence

Document appropriate follow up notes on accounts and upkeep of any daily spreadsheets required by supervisor

Notify leadership of, and respond to, additional documentation requests (ADR), audits, and/or post payment review

Scan all documents relating to the patient/claim into EHR

Show work to maintain accountability and identify trends

Additional duties as assigned

JOB REQUIREMENTS

EDUCATION: High School Diploma or equivalent. Bachelor’s degree preferred.
EXPERIENCE: 2 years accounts receivable experience in the medical field required. Experience with medical terminology and insurance industry and out-of-network. 
SKILLS: Ability to prioritize and handle multiple tasks in a changing work environment. Excellent written and verbal communication skills. Ability to work independently and on a team. Ability to interpret an Explanation of Benefits and take additional and necessary steps towards payment. Familiarity with Microsoft applications and database software. Strong attention to detail. Must be proficient with CPT, ICD-10 and HCPCS coding.

WORKING CONDITIONS
Working conditions are normal for an office environment.