Accounts Receivable Specialist

Integrated Pain Associates is a fast growing company that specializes in custom treatments that address the root causes of chronic pain, with the goal of reestablishing function in your everyday life. Our board certified pain management doctors understand that no two patients are the same and our individually constructed treatment plans are holistic and multidisciplinary. We don’t just treat symptoms, we create a treatment plan that gets you back to doing everything you love free of pain.

Job Summary

Possess and apply thorough knowledge of collections and the ability to apply that knowledge to all aspects of patient accounts including insurance, billing, and collection processes. They Identify problem accounts and review accounts for discrepancies and potential issues. The AR Specialist will also contact insurance companies to resolve claims not paid in a timely manner, identify coding or billing issues from EOB's and work to correct errors. The AR Specialist is responsible for researching and resolving claim related issues in order to receive maximum profitability for clients. Also reviews the claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and updates accounts as necessary.

Duties And Responsibilities

• Acute appeals/denials/collections experience gained in a medical setting
• Analyze EOB denials and determine steps necessary to correct claims
• Audit and resolve accounts with credit balances
• Audit and resolve accounts with outstanding balances and determines disposition of delinquent accounts
• Perform necessary rebilling or adjusting on accounts
• Finalize invoices that do not have any discrepancies
• Document all conversations and billing transactions in the management system
• Contact customers or business partners to notify them of overdue payments and documented debts collected.
• Proven ability to manage multiple clients at a time while paying strict attention to detail.
• Other duties as assigned.

Qualifications

• Knowledge of commercial collections. VA, Tricare, Medicare and Medicaid collection knowledge a plus
• Demonstrated excellent critical thinking and analytical experience
• Understands medical terminology and medical coding terminology
• Excellent written and verbal communication abilities
• Strong attention to detail and goal oriented
• Maintain strict confidentiality; adhering to all HIPAA guidelines and regulations
• Proven account management or other relevant experience in credentialing, medical billing and coding industry
• Proficient in Microsoft Excel, Word, Access and electronic e-mail systems
• In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and payments.
• High School Diploma; additional qualifications will be a plus
• Minimum of three years’ experience working underpayments/denials, or prior experience as a Healthcare Insurance Collector, Patient Account Representative or related experience
• Payer relations background

Working conditions

• Operates computers, scanners, telephones and additional office equipment.
• Able to sit and stand for long periods of time.
• Occasionally requires employee to lift up to 50 pounds and/or carry objects that weigh up to 25 pounds.

Benefits

• Medical Care Coverage
• Dental and Vision Coverage
• Short Term Disability
• Long Term Disability and AD&D
• $25,000 Company Provided Life Insurance
• Company Provided Employee Assistant Program
• Telemedicine

Schedule

• Monday - Thursday: 08:00 - 05:00
• Friday: 08:00 AM - 02:00 PM (Hours may vary)