Accounts Receivable Associate- No-Fault/Workers Comp.

Health Plus Management; Uniondale (NY); On-site; USD 29,000 - 33,000; Full time

Job summary

Health Plus Management is seeking an experienced AR/Denials specialist to manage insurance accounts receivable for multiple groups across payers. You will follow up on unpaid or denied claims, resolve errors, and re-submit claims for reimbursement while preparing appeal letters when necessary.

The role requires knowledge of ICD-10 and CPT codes, proficiency with Excel/Word and billing portals, and strong attention to detail with team-focused collaboration.

Qualifications

• High School Diploma or equivalent required.
• 2+ years in AR & Denial Management across multiple payers.
• Strong knowledge of payer terminology and local coverage determinations.
• Knowledge of ICD-10 and CPT codes.
• Proficient with Excel and Word; experience with insurance portals.
• Detail oriented, team player with good communication.

Responsibilities

• Maintain insurance account receivable management for multiple groups and payors.
• Follow up with insurance companies on unpaid or denied claims.
• Resolve claim errors and re-submit claims for reimbursement.
• Prepare appeal letters to carriers when claims are denied.
• Identify payer issues related to denial trends and payment changes.
• Maintain documentation and notes of all collection activity.
• Assist with collections per company policies and legal compliance.
• Support team with additional tasks as needed.

Skills

Insurance knowledge

A/R follow-up

Excel & Word proficiency

Customer service

Problem solving

Attention to detail

Education

High School Diploma or equivalent

2+ years AR & Denial Management experience

Tools

Billing software

Insurance portals

Job description

Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ, CT, and Upstate NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice.

Duties & 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

Education & Training

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

Knowledge & Experience

• 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

Skills & Abilities

• 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
• 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

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

Full-Time, Monday-Friday

Pay

$21-$24/hour