Medical Accounts Receivable Representative

Do you excel at navigating insurance claims, resolving outstanding balances, and keeping revenue cycles running smoothly?

Are you ready to join a dynamic team where your expertise in claims, collections, and patient accounts makes a real impact? If so, we are looking for someone just like you to join our Medical Accounts Receivable team!

WHAT SETS OAM APART

On the Accounts Receivable (A/R) team, we’re unique because we combine teamwork, problem solving, and persistence to turn complex billing challenges into seamless solutions to ensure a positive financial impact for our organization and the patients we serve.

OAM is committed to our employees' well-being, work-life balance, and career growth. We offer competitive pay, great PTO, a complete benefits package with several coverages at no cost to the employee, and a schedule with weekends usually on a voluntary basis and many paid holidays off. Joining our team means working alongside fellowship-trained orthopaedic physicians who are leaders in their field. After a year of employment full-time and other qualifying employees join our 401k plan to which OAM makes a 3% safe harbor and discretionary profit-sharing contribution. Our benefits offerings include: 4 Priority Health medical plans with HSA and FSA options, Delta Dental, VSP Vision, Pet, and Identity Theft insurance. Also offered at no cost to you: Short-Term and Long-Term Disability and Life Insurance.

ABOUT THE POSITION

Orthopaedic Associates of Muskegon (OAM) is seeking an Accounts Receivable Representative to join our Billing team. This individual will be responsible for following up on denied claims and outstanding balances from primarily auto related. Knowledge of auto insurance a plus. This individual must be highly organized and have excellent oral and written communication skills. The Accounts Receivable Representative must be able to work independently and when necessary, with other departments.ABOUT OAM

OAM is committed to providing quality health care to all patients compassionately, appropriately, responsibly, and efficiently with uncompromising integrity at every level. We operate under the premise of the Golden Rule - Treat all patients with the same dignity, respect, courtesy, and concern that you would desire for yourself and your family. Everyone at OAM is committed to achieving service excellence through our standards of behavior: teamwork and respect; attitude and courtesy; customer service; communication with mindfulness for email, telephone, office etiquette; appearance and environment; professionalism; confidentiality and privacy; and safety.

We seek to reflect the diverse community we serve and be a welcoming, inclusive space for all. Applicants from diverse experiences, backgrounds, and identities are encouraged to apply.

ESSENTIAL DUTIES & RESPONSIBILITIES

1. Locate and monitor overdue accounts

2. Verify auto is open and billable

3. Track outstanding auto payments and report on litigated cases

4. Contact auto insurance companies to check on status of claims payments and write appeal letters for denial on claims.

5. Knowledge of the CMS uniform billing manual

6. Familiar with multi-faceted revenue and CPT codes

7. Ability to understand explanation of benefits

8. Ability to communicate effectively with all payors

9. Knowledge of commercial based payor contracts.

10. Understand workings of authorizations

11. Knowledge of Medicaid and Medicare billing requirements

12. Follow up on secondary billings

13. Ensures HIPPA compliance and security of documents

14. Various other duties as requested

EXPERIENCE, EDUCATION & REQUIREMENTS

1. High school diploma

2. Solid working knowledge of medical:

· Insurance

· Terminology

· Billing

· Coding

· Diagnosis

3. 3-5 years’ experience in medical field

4. Experience contacting insurance companies, and other entities as needed

5. Proficient computer skills

6. Exceptional mathematical knowledge

7. Exceptional communication skills

8. Ability to respond to questions in a tactful and professional manner

9. Strong problem-solving abilities

10. Ability to persuade and influence

11. Ability to be self-directed and work independently, yet contribute to team efforts as needed

12. 1-2 years insurance related experience

If you are interested in joining our team be sure to clearly and specifically outline how your experience will help make this position successful, and send your resume and cover letter to:

Human Resources

HRteam@oamkg.com

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Work Location: In person