Companies you'll love
to work for
to work for
AR / Denials Specialist
Summit Spine and Joint Centers
This job is no longer accepting applications
See open jobs at Summit Spine and Joint Centers.See open jobs similar to "AR / Denials Specialist" Fulcrum Equity Partners.Lawrenceville, GA, USA
Posted on Thursday, August 11, 2022
Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Accounts Receivable / Denials Specialist to our team. With thirteen ambulatory surgery centers and twenty-four clinic locations across Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state of Georgia We are looking for a motivated and hard-working AR / Denials Specialist who can join our growing team of professionals.
Job Duties:
- Manages outstanding accounts to include following up with insurance carriers for overpayments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely payments
- Review AR aging to ensure timely collection of payments
- Review and initiate payor and patient refunds
- Appropriately documents issues, sources, and actions taken on each account
- Identify, document, and report payer denial trends to billing manager for escalated follow-up
- Creates reports regarding the status of patient accounts as requested
- Address inquiries from insurance companies, patients, and providers
- Ensure claim information is complete and accurate
- Post office paper zero pay denials, and scan into our system
- Verify patient benefits and eligibility
- Maintain denials productivity spreadsheet
- Follows HIPAA guidelines in handling patient information
Qualifications:
- Minimum of 3 years’ experience with accounts receivable or revenue cycle in a medical setting
- Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases
- Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management
- Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.
- Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
- Excellent computer skills and familiarity with Microsoft Office
- Comfortable working in a growing, dynamic organization and able to navigate change.
- Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment
- Bachelor’s degree preferred
- Experience using eClinicalWorks preferred
- Experience with Pain Management preferred
The position is full time with full suite of benefits including competitive salary, PTO, health benefits and 401k match.
This job is no longer accepting applications
See open jobs at Summit Spine and Joint Centers.See open jobs similar to "AR / Denials Specialist" Fulcrum Equity Partners.