Jan 08, 2025

Accounts Receivable Specialist

Full Time Other

Job Description

Barrington Orthopedic Specialists is looking for a full-time Accounts Receivable Specialist. Applicant must have knowledge of insurances, EOB's, and collections, and have the ability to analyze data. A disciplined individual with the ability to prioritize and multi-task with attention to detail, and the ability to maintain productivity at a consistent pace will be most successful.


This is a full-time position (40 hours per week), based out of our Schaumburg location.


Essential Function(s) of the Position:

· Build accounts receivable aging report

· Research and follow up on insurance claims

· Research and work correspondence from payers, attorneys, and patients

· Prepare and submit documentation for additional information requests, reconsiderations, and appeals

· Contact payers regarding denials, payment issues and claims questions

· Work closely with insurance provider representatives for complex claims issues

· Locate and upload explanation of benefits into practice management system as needed

· Contact providers for documentation or corrections needed for proper reimbursement

· Be familiar with payer fee schedules, confirm claims are being paid correctly

· Work closely with workers’ compensation claims adjusters

· Process physician liens for litigated accounts

· Negotiate settlements with attorneys

· Keep up to date on federal and payer medical policy, reimbursement guidelines and appeal processes

· Identify and appeal underpaid claims

· Other duties as assigned.


Full-time Benefits Offered:

  • 401(k) Retirement Plan
  • 401(k) Employer Matching
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Health Savings Account with Employer Contributions
  • Life Insurance (Employer Paid)
  • Long-Term Disability (Employer Paid)
  • Voluntary Additional Life Insurance
  • Voluntary Short-Term Disability
  • Voluntary Critical Illness Benefit
  • Voluntary Accidental Benefit
  • Voluntary ID Shield Benefit
  • Employee Assistance Program
  • Paid Time Off

Requirements

Education/Experience:

· High School Diploma or equivalent

· Customer service experience

· 5 years’ experience with working accounts receivables in healthcare

· Experience explaining/discussing insurance coverage and financial responsibility

· Experience performing pre-certifications

· Experience appealing a claim

· Experience with third-party insurance (Workers Comp, Motor Vehicle, Liability)

· Medical Billing experience

· Medical Coding experience

Knowledge, Skills and Abilities:

· Medical Terminology REQUIRED

· Electronic Medical Record (EMR) software experience with Athena PREFERRED

· Administrative and clerical procedures and systems such as Word, Excel, Outlook REQUIRED

Required Experience Level

Senior Level

Minimum Education

High School

Minimum Experience Required

4-6 years

Required Travel

No required travel

Applicant Location

US residents only