Medical biller

Advanced-Orthopedics-and-Sports-Medicine-Institute; Princeton (NJ); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Medical insurance

Prescription drug coverage

Voluntary Dental insurance

Voluntary Vision Insurance

401K

Paid holidays

Job summary

Health Plus Ortho Management / Advanced Orthopedics Sports Medicine seeks an AR Billing and Collection Representative I to analyze overdue accounts and coordinate between third party payers and internal teams to resolve payment discrepancies. The role operates in an on-site Freehold, NJ office, with standard hours and a focus on timely resolutions.

The position requires at least four years in medical AR, knowledge of healthcare billing, and the ability to work in the US without sponsorship.

Qualifications

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

Responsibilities

• Analyze assigned AR accounts to ensure timely and appropriate resolution per payer guidelines.
• Cross-trained on back-office AR tasks including posting, denial appeals, and Medicare accounts.
• Keep navinet and payor portals open to monitor payment status and follow up on balances.
• Provide monthly updates on litigation accounts and closures.
• Answer billing questions clearly and politely and pull necessary charts/files as needed.
• Maintain patient confidentiality as required by law and internal policy.

Skills

English

Education

High School Diploma or GED

Tools

Microsoft Excel

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.