RCM A/R Specialist/Collector

RCM A/R Specialist/Collector Centers for Neurosurgery, Spine, and Orthopedics Wayne, NJ Job Details Full-time $27 - $33 an hour 2 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Microsoft Word Microsoft Outlook Medicare Accounts receivable management High school diploma or GED Medical billing Medical debt collection accounts Full Job Description RCM A/R Specialist/Collector Job Description CNSO is a vibrant, well-established, neurosurgery, spine surgery, orthopedic spine surgery, pain management and physical therapy practice, with multiple office locations throughout Northern New Jersey. Due to continued expansion, CNSO has an exciting opportunity to join its revenue cycle department in its Wayne location. The RCM A/R Specialist/Collector should have proficiency and knowledge regarding claims adjudication process, individual insurance policies, CMS guidelines, NCCI edits, and the ability to effectively and professionally communicate with insurance carriers and fellow staff members both verbally and in writing. This position will be responsible for the follow-up and payment of physical therapy claims and evaluation and management claims. CNSO provides a two-month orientation and training process. The right candidate can work both independently and in a team setting. The revenue cycle department is very organized and has routine and regular educational weekly meetings.

Duties & Responsibilities:

Timely management of assigned medical claims, aging reports, and correspondence. Consistently communicate with insurance companies to address denials, corrected claims, and receipt of appeals. Proactively ensure timely and accurate processing of claims. Utilizes Navinet, Optum, and Availity to understand the status of claims. Adheres to policies and procedures. Accurately identifies the reason for payor denials. Detailed appeal writing that targets the reason for the denial. Identifies the cause of clearinghouse rejections. Ensure the primary payor's claim is always sent to the secondary payor and verify that both parties pay the contracted rate. Answers and resolves all incoming calls, faxes, and emails promptly. Achieves goals established by the Revenue Cycle Manager. Duties as assigned. •

Experience/Training/Education:

High School Diploma or GED •Must have 3+ years of Medical Billing and Collections experience•Strong Experience in collecting for Physical Therapy, office visits, plastics, or surgery preferred. Experience with in and out of network claims along with NJ PIP and WC Posting knowledge also valued

Knowledge/Skills/Abilities:

Ability to research payor websites and apply insurance guidelines Medicare Medical Billing Outlook, Word, Excel EMRs such as

EclinicalWorks Benefits:

Healthcare Plan Dental and Vision Plan

PTO 401K

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Work Location:

One location-Wayne.

NJ Work Remotely, No Job Type:

Full-time Eligible for quarterly bonus based on performance evaluation.

Job Type:

Full-time Pay:

$27.00 - $33.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person