This position is primarily responsible for Accounts Receivable and Collections functions for multiple orthopedic surgeons within our practices.

Duties & Responsibilities

• Maintain insurance account receivable management for multiple groups, specialties and payors
• Follow up with insurance companies on unpaid and/or denied claims
• Resolve claim errors and re-submit claims as appropriate for reimbursement
• Prepare appeal letters to insurance carriers when not in agreement with claim denial
• Identify and report payer issues relating to denial trends or change in payments
• Maintain detailed documentation of notes pertaining to all collection activity for each account worked
• Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliance
• Support/assist team with additional assigned tasks as needed
• Effectively communicate and correspond with team members and management
  
  

Education & Training

• High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
  
  

Knowledge & Experience

• 2+ years of experience with A/R Collection and/or Denial Management across multiple insurance carriers and specialties
• Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
  
  

Skills & Abilities

• Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
• Prior work experience on Athena a plus
• Excellent communication skills, verbal and written
• Strong work ethic and excellent attention to detail, dedicated and effective team collaborator
• Ability to organize and prioritize work to meet deadlines
  
  

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 25 pounds at times.
  
  

Schedule: Monday-Friday, 40 hours per week

Pay: $24 - $28 per hour

Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management, PMN&R, and Orthopedics. HPM manages 45 locations throughout Long Island, NYC, including the 5 boroughs, Westchester, NJ, CT and Upstate. We provide management services that give the physicians and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.