Do you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience?

Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?

Ideal experience: Full revenue cycle including A/R, Medical Billing, and Payment Posting.

Accounts Receivable Specialist daily duties will include the following:

• Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.
• Manage daily work queue to prioritize high dollar claim balances.
• Review & work incoming insurance and patient correspondence including refund requests.
• Send appeals when appropriate or provide the requested medical documentation.
• Ability to review medical documentation to justify medical necessity.
• Review patient balances to ensure accuracy and follow up with patients to obtain payments.
• Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances.
• Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.
• Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution.
• Negotiate payment amounts for procedures with Third Party Administrators for out of network providers.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.

2+ years of ASC revenue cycle OR orthopedic collections experience.

• Ability to read and interpret insurance explanations of benefits and managed care contracts.
• Must communicate effectively, both verbally and in writing, with internal and external clients.
• Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines.
• Knowledge or experience working with a variety of health care insurance payers is preferred.
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
• Advantx, Vision, HST, Waystar experience preferred.
• High School Diploma or equivalent.

NOTE: This is only a Remote Position if you are not within reasonable travel distance to our Dallas, TX, Tampa, FL or Sioux Falls, SD office. ASC facility billing experience is required to work remotely.

#MedicalBilling #ASC #SurgeryCenter #RevenueCycle #RemoteJob