First State Orthopaedics is seeking a Workers Compensation Account Representative in our Newark location. The Representative is responsible for reconciling discrepancies and collecting on delinquent accounts. Presents a positive image to supporting staff members and patients at all times.

Position Requirements:

High School Diploma or Associates Degree in related field, previous experience in healthcare collection/billing, excellent communication and computer skills, good working knowledge of medical terminology CPT and ICD-10 coding. Ability to maintain good working relationships with all co-workers, patients and general public. Knowledge of state laws and statutes. Understanding of legal process involving medical claims. Understanding and react to developing trends in healthcare reimbursements. Review patient's past due statements, research and reconcile outstanding items. Maintain account receivable reports. Precert and obtain referrals for testings, MRI's, Injections, surgeries & etc. Maintain the accounts receivable within company goals. Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts.. Review EOB's. Send letter of protection when PIP is exhausted. Maintaining patient confidentiality.

Organizational responsibilities:

promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner. Verification of WC/AA claims. Review patient's past due statements, research and reconcile outstanding items. Maintain account receivable reports. Precert and obtain referrals for testings, MRI's, Injections, surgeries & etc. Maintain the account s receivable within company goals. Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts.. Review EOB's. Submit appeals to insurance carriers Send letter of protection when PIP is exhausted. Ability to interface with support departments and articulate issues and concerns. Interact with a variety of personalities and situations that require tact, judgment, poise and professionalism. Maintaining patient confidentiality.

Organizational responsibilities:

promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner. Bilingual would be a huge plus for this position.

Job Type:

Full-time Pay:

$16.00 - $18.00 per hour

Benefits:

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

Experience:

Workers' compensation: 1 year (Required) Ability to

Commute:

Newark, DE 19702 (Required)

Work Location:

In person