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ESIPosted 3 months ago

Accounts Receivable Associate- Orthopedics - Medical Biller

$49,920–$54,080 year

On-siteUniondale, New York, United States

Full TimeEntry LevelHigh School Or Equivalent

Job Summary

Manage insurance account receivable for multiple orthopedic groups, specialties, and payors by following up on unpaid or denied claims, resolving errors, and re-submitting claims for reimbursement. Prepare appeal letters to insurance carriers when disagreements occur and identify payer issues related to denial trends or payment changes. Maintain detailed documentation of notes for all collection activity and assist with collections efforts while adhering to company policies and legal compliance. Communicate effectively with team members and management to support additional assigned tasks.

Required Qualifications

  • High School Diploma or equivalent
  • 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
  • 2+ years of experience with A/R Collection and/or Denial Management across multiple insurance carriers and specialties
  • Strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
  • Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word
  • Must be able to lift up to 25 pounds at times
  • Monday-Friday, 40 hours per week

Desired Qualifications

  • Prior work experience on Athena

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