Demo

Collections

American Orthopedic Partn
Garden, NY Full Time
POSTED ON 2/18/2025
AVAILABLE BEFORE 5/13/2025

Job Description

Job Description

Company Description :

New York Sports and Joints is a rapidly growing orthopaedic practice founded in 2010. We provide top-notch orthopedic care and handle billing services for multiple physicians and Physician Assistants. With a focus on No-Fault and Worker's Compensation cases, we have a diverse and dynamic patient population.

Location : Garden City, New York

Summary : As a Collections Specialist at New York Sports and Joints, you will play a crucial role in following up with insurance companies on unpaid medical bills. Your responsibilities will include reviewing medical documentation, calling and emailing insurance carriers to find issues preventing our bills from being paid, and resolving those issues.

Job Responsibilities :

  • Request additional medical records as needed to complete documentation requirements.
  • Review the patient's Electronic Medical Records (EMR) to gather information
  • Communicate collections issues to the Billing Manager and Physicians when necessary.
  • Ensure pre- certifications / authorizations are valid for the performed procedures.
  • Assist in resolving billing issues, such as rejections and non-paid accounts.
  • Stay updated on changes in legislative regulations affecting collections

Required Education & Experience :

  • High School diploma / GED
  • One (1) years of experience in health insurance billing or reimbursement
  • Additional Skills

  • Advanced knowledge of collections (Orthopedics)
  • Advanced knowledge of ICD-10-CM, CPT, third-party procedures, and requirements regarding benefit structures, insurance verification, referrals, and authorizations
  • Familiarity with electronic health records (EHR)
  • Intermediate proficiency with office software (Microsoft Office)
  • Excellent verbal and written communication skills
  • Excellent interpersonal skills
  • Strong critical thinking skills
  • Ability to maintain confidentiality and professionalism
  • Ability to work independently with minimal supervision
  • Ability to analyze and make recommendations based on documentation and data
  • Ability to convey complex or technical information in an easy-to-understand manner
  • We offer a comprehensive benefits package that includes paid holidays, 3 weeks vacation, and 5 sick days, as well as healthcare and financial wellness benefits. Compensation for this role will be determined based on the candidate's qualifications, skills, competencies, and experience.

    New York Sports and Joints is an equal opportunity workplace and an affirmative action employer. We value diversity and do not discriminate on the basis of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. Please note that we participate in E-Verify to ensure authorization to work in the U.S.

    If you're ready to join a dynamic and growing orthopaedic practice and make a difference in healthcare billing and coding, apply today!

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