What are the responsibilities and job description for the Worker's Comp Billing Specialist position at Excelsia AMM?
About Us
At Excelsia Injury Care we provide management services to a host of healthcare companies
throughout Maryland, Delaware, Virginia, Pennsylvania, and Missouri which furnishes
high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The
healthcare companies we manage, and service offer an extensive slate of office-based
diagnostic, surgical and rehabilitation services, provided by compassionate and skilled
professionals who medically manage each patient from evaluation through treatment to ensure
patients have the best achievable outcomes. Our healthcare companies are leaders in care
delivery for personal injury and worker’s compensation patients and have a proven track record
of returning patients to their highest level of activity as quickly as possible. We are devoted to
furnishing highly competent and timely services in compliance with all applicable legal,
regulatory, and ethical standards; a commitment to doing things right. We strive to be a good
corporate citizen and integrate ESG (environmental, social and governance) considerations
within our Enterprise business practices. Our mission is to benefit the healthcare companies we
serve, as well as all our collective employees, and communities.
Job Duties
Billing:
● Generate statements, insurance forms, and patient bills according to daily schedule.
● Retrieve dictated reports or progress notes.
● Review all reports for medications listed and forward the errors to Excelsia Physician’s
office for corrections.
● Forward billing errors to the treating offices for review and/or corrections
● Finalize and prepare bills and documents for submission (electronic and paper)
● Communicate with pharmacy staff to obtain accurate information.
● Other duties as assigned.
● File fee review for denied bills (Worker’s compensation claims)
● Submit NJ precerts for NJ MVA
● Translates Spanish speaking patient information to pharmacist and staff to ensure
medication safety (If Spanish Speaking)
Collecting:
● Review AR and follow up on unpaid accounts (includes sending attorney ledgers)
● Review accounts in all databases (where applicable) for accuracy
● Resubmit claims if necessary.
● Forward the following adjustments /corrections to the designated employees at the
BSO: write offs, payment adjustments, refunds, etc.
● Assist attorneys, adjustors, and patients with account information and billing questions.
Obtain billing information if missing.
● Work A/R correspondence
● Complete daily A/R log
● Communicate with BSO staff as necessary.
● Other duties as assigned.
Minimum Requirements
● High School diploma or GED equivalent
● Working knowledge of insurance billing and collection procedures
Revenue Cycle Specialist I
● A minimum of 1 years’ experience in 3rd party billing / AR, or medical billing/coding certification
● Must have computer knowledge and accurate keyboard skills.
Revenue Cycle Specialist II
● > 2 years’ experience in 3rd party billing /AR Collections
● Knowledge of Worker’s Comp and Auto Insurance claim processing is preferred.
● Must have analytical and problem-solving skills.
Revenue Cycle Specialist III
● A minimum of 4 years’ experience in 3rd party billing / AR collections
● Demonstrated knowledge of 3rd party billing operating procedures, regulations, and billing requirements.
● Serves as a Subject Matter Expert for RCS I/II
● Certified Revenue Cycle Specialist (CRCS) is required.
Revenue Cycle Team Leader
● A minimum of 5 years’ experience in 3rd party billing / AR collections
● Demonstrated knowledge of 3rd party billing operating procedures, regulations, and billing requirements.
● Ability to prioritize work of the team. Monitors payer trends and works with the RCM Manager to address payer issues.
● Certified Revenue Cycle Specialist (CRCS) is required
Revenue Cycle Specialist I – Payment Posting
● A minimum of 1 years’ experience in payment posting or transaction processing
● Must have computer knowledge and accurate keyboard skills.
Revenue Cycle Specialist II – Payment Posting
● > 2 years’ experience in payment posting, transaction processing or accounts receivable.
● Experience with medical claims and interpreting eobs
● Detail oriented, problem solver in a fast-paced environment.
Revenue Cycle Specialist III – Payment Posting
● A minimum of 4 years in payment posting, transaction processing or accounts receivable
● Experience with medical claims and interpreting eobs.
● Serves as a Subject Matter Expert for RCS I/II
● Certified Revenue Cycle Specialist (CRCS-P) is required.
Revenue Cycle Team Leader- Payment Posting
● A minimum of 5 years’ experience in healthcare payment posting, transaction processing
or accounts receivable. Cash posting experience is preferred.
● Demonstrated knowledge of 3rd party billing operating procedures, regulations, and billing requirements.
● Ability to prioritize the work of the team. Works closely with RCM management and Finance to ensure cash reconciliation.
● Certified Revenue Cycle Specialist (CRCS) is required.
Additional Skills/Competencies
● Excellent verbal and written communication skills
● Knowledge of computer applications, including Windows, Outlook, and Microsoft Office
● Problem solving and organizational skills.
● Typing – 50 WPM
● Knowledge of insurance plans, workers’ compensation, and personal injury, accounting
● Ability to effectively interact with doctors, attorneys, patients, and co-workers.
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at
waist, working in kneeling position, climbing stairs, climbing ladders, working with arms
extended at shoulder length, lifting maximum of 20 lbs.
Diversity Statement
Excelsia Injury care is an equal opportunity employer. We commit to a policy of
nondiscrimination and equal opportunity for all employees and qualified applicants without
regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age,
national origin, or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.
