Medical Accounts Receivable Specialist
1 day ago
Uniondale
Health Plus Management LLC (HPM) provides management services to medical practices specializing in Pain Management, PMN&R, and Orthopedics. HPM manages over 50 locations across Long Island, NYC (including the 5 boroughs), Westchester, NJ, CT, and Upstate New York. We enable physicians and therapists to focus on patient care by handling administrative needs. This position is primarily responsible for Accounts Receivable and Collections functions specifically related to No-Fault and Workers' Compensation for our practices. Key Responsibilities: • Manage insurance accounts receivable for various groups, specialties, and payors., • Proactively follow up with insurance companies on unpaid and denied claims., • Resolve claim errors and re-submit claims as necessary to ensure reimbursement., • Prepare and submit appeal letters to insurance carriers for denied claims where disagreement exists., • Identify and report payer issues, particularly those related to denial trends or payment changes., • Maintain meticulous documentation of all collection activity and notes for each account., • Assist with collection efforts in adherence to company policies and procedures, ensuring legal compliance., • Provide support to the team with additional assigned tasks as needed., • Communicate effectively with team members and management. Education & Training Requirements: • High School Diploma or equivalent is required., • 2+ years of experience in Accounts Receivable (A&R) or Denial Management across diverse insurance carriers and specialties. Knowledge & Experience: • 2+ years of experience with No-Fault & Workers' Compensation AR/Collection and Denial Management., • Strong understanding of payors and medical insurance terminology relevant to collections., • Knowledge of local coverage determinations policies, A/R follow-up procedures, and managed care regulations. Skills & Abilities: • Proficiency in computer usage, insurance web portals, and keyboarding., • Required knowledge of Microsoft Excel and Word., • Prior work experience with Athena is a plus., • Excellent verbal and written communication skills., • Strong work ethic and exceptional attention to detail., • Dedicated and effective team collaborator., • Ability to organize and prioritize work to meet deadlines. Physical Requirements: • Prolonged periods of sitting at a desk and working on a computer., • Ability to lift up to 25 pounds occasionally. Schedule: • Monday-Friday, 40 hours per week. Compensation: • $24 - $26 per hour.
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