AR/ Billing Specialist

Advanced-Orthopedics-and-Sports-Medicine-Institute; Lakewood Township (NJ); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Prescription drug coverage

Voluntary Dental insurance

Voluntary Vision Insurance

401K

Paid holidays

Job summary

Advanced Orthopedics Sports Medicine is seeking an AR Billing and Collection Representative I to analyze past-due accounts and coordinate with third-party payers and internal teams. The role focuses on timely resolution, minimizing financial risk, and recovering overdue payments and litigated claims.

Office location is Freehold, NJ, with standard hours Monday through Friday, 8:30 AM to 5:00 PM. This is not a remote position and requires working on-site.

Qualifications

• Minimum 4 years in medical accounts receivable office.
• Knowledge of healthcare insurance billing.
• Authorized to work in the US without sponsorship.
• Minimum high school degree or GED.
• English proficiency.
• Knowledge of Microsoft Excel.

Responsibilities

• Analyze and update AR accounts for timely solutions per payer guidelines.
• Cross-train on back-office tasks including posting, AR, denials, and Medicare accounts.
• Maintain phone readiness to receive calls related to patient bills.
• Check Navinet or payor websites for payment status and follow-up on open balances.
• Turn on Surgimate daily to assist with pre-surgery requirements and pricing checks.
• Provide monthly updates on litigation accounts and closures.
• Answer billing questions clearly and politely; retrieve necessary charts/files.
• Handle billing questions from patients, co-workers, and physicians; escalate complex issues.
• Respond to correspondence from insurers and physicians regarding balances and write-offs.
• Understand patient confidentiality laws and release requirements.
• Perform 30/60/90 day reviews of outstanding accounts.
• Send 90 day past-due status letters to patients.
• Send 9-month appeal letters on outstanding balances.
• Document status and strategy for all accounts.
• Compile claims data and update logs; report denial trends.

Skills

Microsoft Excel

Healthcare billing

English

US work authorization

Education

High school diploma or GED

Tools

Navinet

Surgimate

Job description

The AR Billing and Collection Representative I is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments. The AR/Collection representative I core responsibility includes but not limited to minimizing financial risk and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution.

Monday through Friday - Hours 8:30 - 5:00

This is not a remote position. Office location is Freehold.

Benefits

• Medical insurance
• Prescription drug coverage
• Voluntary Dental insurance
• Voluntary Vision Insurance
• 401K
• Paid holidays

Culture

Health Plus Ortho Management / Advanced Orthopedics Sports Medicine - a leader in providing quality orthopedic and sports medicine care. Together as one, we are making a real difference in people s lives. The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Responsibilities

Essential Duties:

• With minimum supervision analyzes and update all assigned AR accounts to ensure a timely and appropriate solution and closure in accordance to the payers' policy guidelines.
• Crossed trained on all aspect of the back office including, posting, Accounts Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc.
• Phone must be tum on daily and ready to receive all calls related to patient bills, whether from patients or insurance companies
• Check Navinet, or payors website for payment statues and set a follow-up bean on open balance accounts constantly.
• Surgimate must be turn on daily and ready to assist with pre-surgery requirement including pricing check.
• Provide a monthly update on all litigation accounts and closure
• Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions
• Handles patient and co-worker, physicians billing questions/inquires and forwards all complex/problem questions to direct Manager
• Answers all correspondence from insurance companies and physicians regarding outstanding balance and write off request.
• Understands patient confidentiality laws and requirements that dictate release of information .
• Perform 30, 60, 90 days review and document all outstanding accounts relating to assigned payor or group.
• Send out 90 days claims status letter to patient on all outstanding passing 90 days past due.
• Send out 9 months patient appeal letters on all outstanding balance passing 9 months threshold.
• All account must be documented with current status and strategy to bring claim to closure.
• Compile claims data and update logs, tracking and trending reports and communicate denial trends with urgency
• Reconciles detailed AR accounts; review and process account adjustments and overpayment refunds in an efficient and timely manner
• Participate in all billing and collection related meetings to discuss new and on-going account resolution
• Responsible for timely completion of all new hire training, departmental training and yearly compliance training on an ongoing basis.
• Responsible for timely and accurate completion of timesheets/ time records for hours work and payroll processing. Time records must be completed and approved by employee no later than close of business on last day of each pay period.

Requirements

• Minimum of 4 years experience in medical accounts receivable office
• Knowledge of healthcare insurance billing required
• Authorized to work in the US without sponsorship
• Minimum High School Degree or GED equivalent
• English
• Knowledge in: Microsoft Excel

Equal Opportunity Employer

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.