No-Fault Account Specialist

Professional Physical Therapy; Melville; On-site; CAD 30,000 - 60,000; Full time

Job summary

A healthcare provider in Saskatchewan seeks a No-Fault Account Specialist responsible for managing no-fault cases, securing insurance authorizations, and conducting account receivable follow-ups. Candidates should have at least 2 years of medical billing experience with a focus on denial management. This role offers unmatched paid time off, 401k matching, and comprehensive health benefits.

Benefits

Unmatched paid time off

401k matching

Comprehensive health benefits

Qualifications

• At least 2 years of medical billing, account receivable follow-up experience required.
• Strong emphasis on denial management and understanding of insurance payor reimbursement.
• Ability to maintain confidentiality of all records.

Responsibilities

• Obtain all required authorizations for patients in a timely manner.
• Respond promptly to inquiries from clinics via telephone or email.
• Contact insurance companies for authorization approvals and claim payments.

Skills

Medical billing experience

Account receivable follow-up

Denial management

Interpersonal skills

Attention to detail

Job description

The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution.

Pay Range:

$25-27/hour, based on experience

Essential Functions:

• Obtains all required authorizations for patients via internet and/or phone in a timely manner and at times with a sense of urgency;
• Responds promptly to inquiries received from clinics either via telephone, email or tasking;
• Keeps providers abreast of patient authorization status including approvals and denials;
• Coordinates with clinic staff to resolve patient relationship issue as it relates to authorization management;
• Contacts insurance companies and escalates issues when authorization approvals and claim payments are not timely and/or received;
• Reviews work ques on a daily basis to ensure productivity standards on patient account follow up is maintained;
• Assists in identifying denial trends for under and overpayments by insurance carriers and escalates as necessary;
• Assists in providing resolution to unpaid, unresolved accounts with payers
• Maintain working knowledge of HIPAA, OSHA, Risk Management and Compliance practices
• Attends staff meetings and assigned training as required.

• At least 2 years experience of medical billing, account receivable follow up experience required, with strong emphasis on denial management and third party policy;
• Must have an understanding of clinic operations as it relates to patient registration, referrals, authorizations and cash collections;
• Must possess strong leadership skills and strong attention to detail;
• Must have an understanding of insurance payor reimbursement, authorization, collection practices and practice management systems;
• Must have the ability to maintain the confidentiality of all records;
• Must have the ability to manage multiple tasks and demands given while ensuring a high degree of accuracy and attention to detail;
• Must have effective interpersonal and communication skills.

Comprehensive Benefits:

• Unmatched paid time off that includes Vacation, Sick, and Personal days!

• 401k Matching - It’s never too early to start thinking about retirement!

• Comprehensive health benefits (medical, dental, vision)