Work Comp Accounts Receivable Specialist

Job title: Accounts Receivable Specialist

iSpine Clinics is a growing pain management practice that provides compassionate, personalized, and coordinated care to patients. Our mission is to improve our patients’ quality of life by providing minimally invasive and maximally effective treatments for chronic pain conditions.

We are excited to be offering a 40 hrs/week Account Receivable Specialist position. This position is scheduled Monday - Friday rotating: 7:30 am to 4:00 pm and 8:00 am to 4:30 pm There will be no weekends or holidays.

General summary of duties: The Work Comp Accounts Receivable Specialist is responsible for maximizing reimbursement by working with Work Comp carriers, attorneys, employers, and other 3rd parties to resolve payment issues.

Position reports to: Billing & Accounts Receivable Lead

Job qualifications:

· Minimum of 3 years of AR experience in healthcare office or 1-year dedicated to Work Comp payers

· Working knowledge of Work Comp billing, arbitration, interventions, litigation and Spaeth balances

· Must have working knowledge of ICD, CPT, HCPCs code and modifiers and the application of each code set

· Ability to establish and maintain effective working relationships with patients, staff, and community

· Skill in identifying and resolving problems

· Ability to read, write and communicate effectively orally and in writing

· Proficiency in the operation of a computer and other office equipment

· Sit for extended periods of time; push, pull and reach; occasionally bend, stoop and stretch

· Maintain a current and valid driver’s license as position may require occasional driving to other locations

Duties and responsibilities:

· File interventions, calculate Spaeth balances, negotiate settlements as needed and appropriate

· Work closely with insurance adjusters, attorneys, and other 3rd parties to ensure our corporate interests are protected by mail, email, fax, or phone call

· Collaborate with attorneys and providers for narratives, depositions, etc.

· Resolve outstanding work comp insurance claims and reconcile accounts to ensure correct payment is received and denials are dismissed

· Maintain work queue and/or due dates current within 3 business days

· Research all duplicate payments and process refunds if appropriate

· Re-file claims when necessary and appropriate only after payer contact

· Understanding of and adherence to payer policies and protocol

· Identify non-payment trends for payers and work with lead/manager to resolve

· Keep lead/manager apprised of any internal/external issues and concerns preventing and/or disrupting daily workflow

· Other duties as assigned

Work environment:

The work of this position is performed in an environmentally controlled office environment. The position requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies and other members of the public.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 3 years

Schedule:

• Monday to Friday

Application Question(s):

• Please provide your wage requirements.

Experience:

• Accounts receivable: 3 years (Preferred)

Work Location: In person