No-Fault Account Specialist

The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution.

Pay Range :

$24-27 / hour, based on experience

Essential Functions :

• Obtains all required authorizations for patients via internet and / or phone in a timely manner and at times with a sense of urgency;
• Responds promptly to inquiries received from clinics either via telephone, email or tasking;
• Keeps providers abreast of patient authorization status including approvals and denials;
• Coordinates with clinic staff to resolve patient relationship issue as it relates to authorization management;
• Contacts insurance companies and escalates issues when authorization approvals and claim payments are not timely and / or received;
• Reviews work ques on a daily basis to ensure productivity standards on patient account follow up is maintained;
• Assists in identifying denial trends for under and overpayments by insurance carriers and escalates as necessary;
• Assists in providing resolution to unpaid, unresolved accounts with payers
• Maintain working knowledge of HIPAA, OSHA, Risk Management and Compliance practices
• Attends staff meetings and assigned training as required.

Requirements

Benefits

Comprehensive Benefits :