Medical Accounts Receivable Specialist

Description : Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford.

Our growing practice is currently seeking a Medical Accounts Receivable Specialist with Epic experience to join our Billing & Collections team in our Farmington business office.

The successful candidate will be a team player who is dependable, organized, enthusiastic, and detail oriented. Important to this position is the ability to build relationships with our customers, both internal and external to promote feedback and timely resolution of outstanding claims.

Proficiency in many computer software programs is required as well as an understanding of insurance payment methodologies to insure accurate reimbursement.

A positive "can-do" attitude is a must.

Responsibilities include :

• Following policies and procedures, timely and accurately follows-up on claims for the resolution of outstanding balances, and denials, working directly with commercial and governmental payors to resolve denials and underpayments.
• Participates in the collection and documentation of claims processing rules.
• Generates both electronic and hard copy claims for submission.
• Obtains supporting documentation and other information required to insure acceptance of claim.
• Interacts and communicates effectively with interdepartmental units when necessary.
• Meets or exceeds productivity and quality performance expectations.
• Effectively and continually communicates with peers, management, payors, and patients.
• Documents pertinent account information pertaining to claims submission and resolution.
• Enters demographic data into the billing & collections software.
• Assumes other duties and responsibilities as needed.

PM22

Requirements :

• A minimum of a High School diploma or GED
• Two years recent experience in medical collections and / or medical billing with result oriented debt collections skills.
• Familiarity with ICD-10 coding and Federal HIPAA regulations.
• Excellent analytical and problem solving skills.
• Computer skills, including Epic, electronic billing, Microsoft Word, Outlook and Excel.
• Knowledge of insurance claim processing and third-party reimbursement.
• Excellent written and verbal communication skills with a professional and courteous telephone manner.
• Ability to set priorities, exercise independent judgement, accept responsibility, and establish and maintain effective working relationships.

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