Accounts Receivable Specialist

About Us: 

MTI America is a health solutions company located in sunny Ft Lauderdale. As a leader in the Workers' compensation industry, our team of dedicated professionals seamlessly coordinates and delivers our ancillary product and service offerings. Passion for people is at the core of everything we do, and we understand the impact of empathy in healthcare. As a company built on lasting relationships, we utilize our network of providers to consistently deliver compelling customer-centric solutions from transport to language and medical services. Nationwide! 

The MTI family has a strong passion for efficiency, customer care, and our people. We love what we do, we strive to be the best, and we are thrilled to serve our customers. We strongly believe that our culturally diverse teams of overly ambitious people are what makes our company a great place to work. We value our employees as much as we do our customers and offer a supportive environment complete with competitive compensation, benefits, and growth opportunities.   

At MTI America, you will have a significant impact on the quality of care our patients receive. Your service will directly impact injured workers and their quality of life. 

Summary: 

The Accounts Receivable Specialist researches denials, partial and overpayments, while reconciling customer accounts. The Accounts Receivable Specialist is responsible for the prompt follow-up on all outstanding insurance claims and correspondence for collections while assisting with billing-related inquiries by applying collection best practices, as defined by AR Management.  

Job Responsibilities: 

• Responsible for rectifying outstanding invoices while utilizing various AR reports targeting aged balances for collection, to meet and maintain performance goals as set by AR Management. 
• Develop strong relationships with carriers while tracking aged accounts and applying customer pricing agreements to collections.  
• Through various reporting tools, analyze and identify any AR portfolio trends to assist in improving cash collections. 
• Share data by preparing weekly, monthly, and quarterly reporting for the Accounts Receivable department, alerting management to irregularities, customer trends, and areas of concern. 
• Evaluate denials and partial payments to determine if further reimbursement is valid and ensure proper appeal within relative state Workers’ Compensation guidelines to facilitate payment. 
• Identify and request adjustments to customer accounts as necessary while following departmental procedure and state Workers’ Compensation guidelines. 
• Other duties as assigned 

Skills and Expertise: 

• 3 years of successful experience in healthcare and/ or workers’ compensation collections and appeals required 
• Strong working knowledge of CPT & HCPCS codes, modifiers, and ICD9-10 codes preferred. 
• A solid understanding of individual state Workers’ Compensation guidelines and fee schedules and their impact on billing and collections is required. 
• Intermediate Microsoft Office Suite skills required. 
• Excellent oral and written communication skills are required. 
• Analytical and problem-solving abilities. 
• Must be detail-oriented and able to multi-task. 
• Strong ability to navigate various payer websites to determine claims status. 
• Must be able to follow instructions, prioritize and meet strict deadlines. 

Educational Requirements: 

• High school diploma or equivalent required. 
• Some college coursework is preferred. 

Travel Requirements: 

• N/A 

Physical Demands/Work environment:  

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   
• Individuals may need to sit or stand as needed. May require walking primarily on a level surface for periodic periods throughout the day. Reaching above shoulder heights, below the waist, or lifting as required to file documents or store materials throughout the workday. Proper lifting techniques are required. On occasion, may include lifting of up to 5 pounds for files and computer printouts.   
• For roles located in the field; this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving), sit, use hands, and fingers speak and hear.   
• Hearing, vision, and talking. Specific vision abilities required by this job include the ability to see things from a close distance and the ability to adjust focus.  
• Utilizes fluorescent lighting; noise level is moderate. For the most part, ambient room temperatures, lighting, and traditional office equipment as found in a typical office.