Insurance Accounts Receivable Specialist (In Office)

Nebraska Orthopaedic Center, PC; Lincoln (NE); On-site; USD 42,000 - 65,000; Full time

Job summary

Nebraska Orthopaedic Center, PC is seeking a full-time Patient Accounting - Insurance Accounts Receivable Specialist in Lincoln. The role focuses on insurance claim follow-up, appeals, and collaboration with providers and insurers to maximize reimbursement and resolve billing questions.

The AR Specialist will handle patient inquiries, balance communications, and denials, while applying CPT/HCPCS/ICD-10 coding knowledge and proficient use of Microsoft Office tools to support efficient workflows

Qualifications

• Knowledge of accounts receivable processes.
• Understanding of health insurance basics.
• Familiarity with claim follow-up and denial management.

Responsibilities

• Follow up on insurance claims to maximize reimbursement.
• Perform insurance appeals as needed.
• Use multiple tools (queue, websites, chats, calls, emails) to follow up on claims.
• Knowledge of CPT, HCPCS and ICD-10 coding.
• Collaborate with insurance company representatives to overcome denials.
• Answer questions about coverage, pre-authorizations and claims.
• Communicate trends to improve initial clean claim rate.
• Assist patients with denied claims and balance questions.
• Handle inbound patient inquiries and collect payments as needed.
• Research insurance overpayments as necessary.

Skills

Accounts receivable

Insurance claims

Customer service

Microsoft Office

Education

High School diploma or GED

Tools

Excel

Outlook

Job description

Job Title: Patient Accounting - Insurance Accounts Receivable Specialist

*Typical Schedule: Monday-Friday 8:30am-5pm

Job Type: Full-Time

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

NOC is currently seeking a full-time AR Specialist to work with one of our providers who specializes in sports injuries in addition to shoulder, knee, hip, elbow, and ankle problems.

Essential Functions

• Follow up on insurance claims to ensure highest reimbursement.
• Perform insurance appeals as needed.
• Use a variety of tools to efficiently follow up on claims (follow up queue, websites, online chats, phone calls, emails, etc.).
• Knowledge of CPT, HCPCS and ICD-10 coding.
• Collaborate with provider representatives at insurance companies to overcome denial trends.
• Answer patient, clinic and team questions about insurance coverage, pre authorizations and claims.
• Communicate trends to the coding staff to increase initial clean claim rate.
• Communicate with patients when they are needed to assist in a denied claim.
• Handle in bound patient phone calls concerning over all account questions and takes payments as needed.
• Research insurance overpayments as necessary.
• Knowledge of Microsoft office applications (Outlook, Word, Excel, OneDrive, OneNote, etc.) is preferred.
• Experience with electronic tools to increase efficiency and complete tasks (electronic faxing, emailing, claims filing and follow up).
• Looking to be part of a team atmosphere that also has individual goals.
• Patient care at the forefront of all tasks.
• Embrace change for the betterment of patient care and workflows.
• Willing to assist where needed on the team to cover time out of other team members.
• Attend required meetings and participates in committees as requested.
• Regular and reliable attendance is an essential function of the job.

Requirements

• High School diploma or GED.
• Knowledge of accounts receivable preferred.
• Health insurance knowledge.

Our physicians have trained among some of the top medical experts and training facilities in the nation. We place a great deal of value on each and every opportunity we have to assist patients to regain the quality of life they deserve. Our commitment to the University of Nebraska Athletic Department (Husker Team Physicians), area high schools and recreational athletes shows our motivation to minimize an athlete’s downtime so they cancompeteto the best of their ability. For more information go to: www.nebraskaortho.com

EOE

*Schedules can vary depending on department needs.