Accounts Receivable Coordinator - Surgical Services

Northeast Orthopaedic Alliance; Concord (NH); In loco; USD 42.000 - 65.000; Tempo pieno

Descrizione del lavoro

Concord Orthopaedics (COPA), a division of Northeast Orthopaedic Alliance, seeks a Surgical Accounts Receivable Coordinator to ensure proper reimbursement for surgical services. Prior billing, surgical coding, and appeals experience are essential, with strong organization and communication skills.

Responsibilities include managing daily claims worklists, reviewing EOBs, handling denials, and coordinating with payers and patients. Teamwork and accuracy are critical in a fast-paced environment.

Competenze

• High School Diploma required.
• Medical office and surgical billing experience required.
• Coding certification preferred.
• Strong typing, computer, documentation, and analytical skills.
• Excellent communication, time management, and organizational abilities.
• Ability to work effectively as part of a team in a fast-paced environment.
• Strong attention to detail and accuracy.

Mansioni

• Manage daily surgical claims worklists to confirm claims are processed and reimbursed correctly.
• Review and interpret EOBs for accuracy in payment posting, patient balance transfers, and denials.
• Process notices of claim denials, update the confirmed claim, and bill the services to the patient’s private health insurance.
• Utilize payer websites and call insurance representatives for clarification of claim denials or status.
• Handle inbound calls in the Business Office queue, assisting patients, insurers, and referring offices.
• Participate in monthly Business Office team meetings.
• Provide cross-coverage support for other business office functions.

Conoscenze

Typing

Analytical skills

Communication skills

Time management

Teamwork

Attention to detail

Formazione

High School Diploma

Descrizione del lavoro

Concord Orthopaedics (COPA), a division of Northeast Orthopaedic Alliance, has been the region’s trusted provider of orthopaedic care for decades. We are dedicated to delivering exceptional care through teamwork, innovation, and compassion. Join our team and be part of a supportive environment where your work directly contributes to the quality of patient care.

Position Summary

The Surgical Accounts Receivable Coordinator is responsible for ensuring appropriate reimbursement from assigned insurance carriers for surgical services. This role requires prior billing experience including surgical coding and appeals, along with excellent organizational and communication skills.

Key Responsibilities

• Manage daily surgical claims worklists to confirm claims are processed and reimbursed correctly.
• Review and interpret Explanations of Benefits (EOBs) for accuracy in payment posting, patient balance transfers, and denials.
• Responsible for processing all notices of claim denials, to include a review & updating of the confirmed claim, notice to provider as necessary, and billing the services to the patient’s private health insurance.
• Utilizing payer websites and calling insurance representatives for clarification of claim denials or status of pending claims.
• Handle inbound calls as part of the Business Office phone queue, assisting patients, insurance representatives, and referring offices.
• Participate in monthly Business Office team meetings.
• Provide cross-coverage support for other business office functions as needed.

Qualifications

• High School Diploma required.
• Medical office and surgical billing experience required.
• Coding certification preferred.
• Strong typing, computer, documentation, and analytical skills.
• Excellent communication, time management, and organizational abilities.
• Ability to work effectively as part of a team and maintain professionalism in a fast-paced environment.
• Strong attention to detail and accuracy.

Physical Requirements

• Prolonged sitting and extensive computer/keyboard use.