Job Description

Full time ( on -site ) Monday - Friday 8:30 - 5:00PM

The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments. The AR/Collection representative II core responsibility includes but not limited to minimizing financial risk to the AOSMI and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution

Benefits
Medical insurance
Prescription drug coverage
Voluntary Dental insurance
Voluntary Vision Insurance
401K with company match
Paid holidays

Culture

Advanced Orthopedics and Sports Medicine Institute was founded in 2007 with the merger of two of the areas longest tenured practices Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic and sports medicine care. Together as one, we re even stronger and making a real difference in people s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Responsibilities
Essential Duties:
With minimum supervision, analyzes and updates all assigned AR accounts to ensure a timely and appropriate solution and closure in accordance to the payers policy guidelines.

• Crossed trained on all aspects of the back office including, posting, Accounts Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc.
• Perform account review for balance and credit for collection call, credit distribution, or refund request submission.
• Monitor collection queue within eCW.
• Allocation of unposted payments and account credits.
• Phone must be turned on daily and ready to receive all calls related to patient bills, whether from patients or insurance companies
• Check Avality, or payors website for payment statuses and set a follow-up bean on open balance accounts constantly.
• Understand NSA arbitration process, monitor and prepare accounts in timely manner to send to attorneys for arbitration
• Open negotiations for out of network underpayments
• Provide a monthly update on all litigation accounts and closure
• Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions
• Handles patient and co-workers, physicians billing questions/inquires and forwards all complex/problem questions to direct Manager
• Answers correspondence from insurance companies and AOSMI physicians regarding outstanding balance and write off request.
• Understands patient confidentiality laws and requirements that dictate release of information
• Perform 30, 60, 90 days review and document all outstanding accounts relating to assigned payor or group.
• All accounts must be documented with status and strategy to bring claim to closure.
• Compile claims data and update logs, tracking and trending reports and communicate denial trends with urgency
• Reconciles detailed AR accounts; review and process account adjustments and overpayment refunds in an efficient and timely manner
• Participate in all billing and collection related meetings to discuss new and on-going account resolution
• Follow productivity requirements as outlined by department manager.
• Responsible for timely completion of all new hire training, departmental training and yearly compliance training on an ongoing basis.

• Responsible for timely and accurate completion of timesheets/ time records for hours work and payroll processing. Time records must be completed and approved by employee no later than close of business on last day of each pay period.
• Assist in other departmental functions as needed or assigned

Requirements
Authorized to work in the US without sponsorship
Minimum of four years experience in a medical accounts receivable office
Knowledge of healthcare insurance billing required
Minimum High School Degree
Knowledge in: Desktop computers
Knowledge in: eClinical Works
Equal Opportunity Employer

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Requisition #cmq12xoygyhib0jlco6hssq9h

Job Tags

Full time, Work at office, Local area, Monday to Friday

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