Health Plus Management · 4 hours ago
Accounts Receivable Associate- Orthopedics
Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management, PMN&R, and Orthopedics. This position is primarily responsible for No-Fault and Workers Compensation Accounts Receivable and Collections functions for multiple orthopedic surgeons within our practices.
Health Care
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
Qualification
Required
High School Diploma or equivalent required
2+ years of experience with A&R, or Denial Management across multiple insurance carriers and specialties
2+ years of experience with No-Fault & Workers Compensation AR/Collection and 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
Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
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
Prolonged periods of sitting at a desk and working on a computer
Must be able to lift up to 25 pounds at times
Preferred
Prior work experience on Athena a plus
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.