Health Plus Management · 3 months ago
Accounts Receivable Associate- No Fault
Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management and Physical Medicine & Rehabilitation. This position is primarily responsible for overseeing the Accounts Receivable and Collections functions for the company, ensuring effective management of insurance accounts and collections processes.
Health Care
Responsibilities
Maintain insurance account receivable management for multiple groups, specialties and payors
Follow up with insurance companies on unpaid 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
Recommend account adjustments as appropriate
Maintain appropriate documentation and notes of all collection activity
Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliancy
Supports/assists team with additional assigned tasks as needed
Knowledge of various billing applications
Qualification
Required
High School Diploma or equivalent required
2+ years of experience with A&R & 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
Knowledge of ICD-10 and CPT codes
Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
Detail oriented and strong team player
Superior customer service and communication skills
Self-starter with strong problem-solving skills
Ability to meet high productivity and accuracy standards
Prolonged periods of sitting at a desk and working on a computer
Must be able to lift up to 25 pounds at times
Company
Health Plus Management
Health Plus Management (“Health Plus”) provides the most effective solutions for physicians who wish to outsource their practice’s non-medical functions.