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Are you passionate about building a career as an Insurance Collections Specialist? Elite Sports Medicine Orthopedics is looking for an Insurance Collections Specialist with a strong sense of ownership, attention to detail and ability to multi-task. The Insurance Collections Specialist performs collection duties for overdue insurance account balances and work aging reports and maintains insurance correspondence.

Elite Sports Medicine Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) employer match.

MINIMUM ESSENTIAL JOB REQUIREMENTS

• Work Insurance Aging with a focus of 61 days and older aged accounts
• Properly communicate and document denials in the practice management system
• Follow the guidelines set in the practice management system for follow up reason codes and follow up dates
• Submit appeals for denied claims
• Research and resolve outstanding claim issues
• Identify any payments not being paid at the allowed/contracted amount and communicate to yor supervisor
• Review payer and specific communication and update necessary team members and departments
• Identify trends in denials and communicate to your supervisor
• Respond to written and telephone billing inquiries from patients
• Participate in weekly team meetings
• Other miscellaneous tasks delegated by management

KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS

• High school diploma required
• College education or trade school preferred
• Experience working in a physician office or hospital billing-type position preferred
• Proven record of discussing financial responsibilities and establishing payment plans when necessary
• Comfortable using email and interacting various applications
• Knowledge of Billing and Collections procedures
• Knowledge of CPT and ICD-10-CM coding
• Orthopedic claims experience is preferred
• Knowledge of MS Office Suite
• Ability to work standard office equipment (fax, copier, telephone, computer)
• Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
• Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process
• Demonstrate proficient use of billing and scheduling applications within the software
• Excellent written and verbal communication abilities
• Strong attention to detail and goal-orientated
• Neat, professional appearance

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.