Accounts Receivable Representative I
Hospital for Special Surgery is a top-ranked institution for orthopedics and rheumatology, dedicated to finding exceptional talent. The Accounts Receivable Representative I will assist with contracts, coordinate enrollment in managed care plans, and resolve payment issues with insurance payors.
Responsibilities
- Assists with contracts
- Coordinates physician enrollment in managed care plans
- Ensures compliance of managed care companies with negotiated contracts
- Follows-up and resolving payment issues with Insurance Payors
- Acts as a liaison between physician offices and Insurance Payors
- Schedules, coordinates, and documents for all PHO related meetings
- Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items
- Oversees PHO phone line, answers and responds to inquiries, and assist with urgent physician office issues
- Maintains satisfactory attendance record
- Reports for duty punctually
- Adjusts to changing situations and work assignments
Skills
- Previous applicable experience in healthcare, hospitality or other highly visible customer service required
- High School Diploma or equivalent (G. E.D.), may include specialized or vocational courses
- Previous medical billing and customer service experience highly desirable
- Knowledge of third party operating procedures, regulation, and billing requirements as well as government reimbursement programs
- Knowledge of CPT, ICD-10, HCPCS coding and Medical Terminology and Collections
- Proficient in uses of computerized registration and billing systems and personal computers, including Microsoft Office Suite
- Ability to identify trends with regard to third party payer denials and proactively problem solve
- Positive attitude, flexible team player
- Epic experience preferred
- Associate's degree or enrolled in college working toward degree
Benefits
- In addition, this position will be eligible for additional benefits consistent with the role.
Company Overview
Company H1B Sponsorship