What are the responsibilities and job description for the Medical Accounts Receivable Specialist position at Upstate Orthopedics?
Job Description
Upstate Orthopedics is looking for a skilled and experienced self-pay AR specialist who can effectively and aggressively pursue outstanding AR and consistently generate revenue through professional billing practices and proper and ethical collection efforts.
Job Duties:
The AR specialist will generally act as an intermediary between our patients and their health insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations. You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments.
Proficiency in the following areas is preferred:
- Knowledge of insurance guidelines, payer requirements, and carrier systems.
- Knowledge of Orthopedic CPT and ICD-10 Coding, as well as modifiers and CCI edits.
- Understanding various fee schedules.
- Knowledge and understanding of explanation of benefits (EOB).
- Effective verbal communication with insurance payers to resolve issues.
- Ability to write solid appeal letters.
- Excellent customer service skills for interacting with patients regarding medical claims and payments.
- Ability to work well in a team environment, ability to prioritize and time manage.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- Knowledge of medical terminology.
- Competent use of Microsoft Office.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Ability to multitask.
Skills: Oral Communication Written Communication
Work from home/on site options available.
Salary is DOE.
Hours are 8am-4:30pm, M-F.
Experience/Education
Associates Degree
Minimum of two years Medical Billing/Accounts Receivable experience
Job Type: Full-time
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: Hybrid remote in East Syracuse, NY 13057
Salary : $18
