Job Summary We are seeking a detail-oriented and experienced Accounts Receivable Specialist who is has experience working all different payer types including workers compensation to join our Revenue Cycle Team. The ideal candidate will be responsible for reviewing denied and unresolved orthopedic and ASC claims and submitting corrected claims and/or appeals. This role requires a strong understanding of healthcare billing and insurance claims, along with excellent analytical, problem solving and communication skills to support our organization's revenue cycle management. This position reports directly to the Revenue Cycle Director. Responsibilities Manage accounts receivable for commercial and government insurance claims, ensuring timely collection of payments. Review and submit additional documentation, corrected claims and appeals to insurance carriers. Review and reconcile outstanding accounts with posting errors, missing eobs and correct billing errors as needed. Maintain accurate records in PM system of follow up activities Collaborate with internal billing and coding team on errors that require specific expertise review for claim processing. Perform data entry tasks related to revenue cycle management. Review and process delinquent patient accounts for missed budget plans and pre-collections. Support audit processes by providing documentation and explanations related to accounts receivable activities. Skills Experience with practice management systems Modmed and/or SIS a plus but not required. Knowledge of healthcare billing procedures including basic CPT coding, ICD-10 coding, medical terminology, and revenue cycle management. Familiar with insurance carrier denial codes and meanings. Strong attention to detail in data entry and account analysis tasks. Experience with working workers compensation claims Effective communication skills for customer service interactions via phone or email; professional phone etiquette is essential. Ability to work independently while managing multiple priorities in a fast-paced environment. This position offers an opportunity to contribute significantly to our organization's financial health while working within a collaborative team dedicated to excellence in healthcare finance management.

EDUCATION AND EXPERIENCE

High school diploma or equivalent Minimum 3 years of medical billing/collections experience Prior experience in orthopedics and ASC collections a plus but not required Proficiency with medical billing systems ModMed and/or SIS a plus but not required.

Pay:

$27.00 - $29.00 per hour

Benefits:

401(k) AD&D insurance Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person