Worker's Compensation AR Collections Specialist

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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Advanced Orthopaedics & Sports Medicine (Houston)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1983

⚽ Sports

🧘 Wellness

Sports • Wellness

Advanced Orthopaedics & Sports Medicine (Houston) is a multi-location medical practice in the Greater Houston area specializing in orthopedic surgery, sports medicine, pain management, rheumatology, occupational medicine, and physical and hand therapy. Since 1983 the practice has offered joint replacement and arthroscopy, fracture and bone correction treatment, spinal and joint injections, rehabilitation services, telemedicine, and coordinated care delivered by a large team of board-certified and fellowship-trained specialists across four clinics. The organization also engages in community outreach, patient education, and scholarships.

📋 Description

• Fully Remote Medical Billing Workers' Compensation AR Specialist will be well versed in all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, Insurance refunds/credit balances, customer service, and follow-up. • This includes reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials. • In addition, responsible for all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency. • Medical Billing Workers' Compensation AR Specialist will work remotely. • Medical Billing Workers' Compensation A/R Clean up, Collections and Review. • Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction. • Mail correspondence to insurance carrier for payment of claims in the form of claim review and/or appeals according to carrier guidelines. • Review and monitor assigned accounts and all applicable collection reports. • Follow-up claim reviews and appeals with insurance carriers. • Scan and fax documents pertaining to patient accounts received from carriers. • Actively searches for solutions to problems and presents ideas and recommendations to Management. • Retroactive verification of eligibility. • Always attempt to verify inaccurate/missing information. • Other duties as assigned.

🎯 Requirements

• High School Diploma or equivalent. (Required) • 1 year of experience in Workers' Compensation Billing and AR collections; preferably in physician office setting. • Medical Appeals and Denials: 1 year. (Required) • Minimum of 1 year’s knowledge of insurance verification and eligibility experience. (Required) • Spine/Orthopedic medicine billing knowledge and experience (Preferred) • Knowledge and experience with Athena EMR. (Preferred, but not required) • Knowledge of medical and insurance terminology. • Attention to detail. • Ability to effectively communicate both orally and written. • Ability to work in a fast-paced environment.

🏖️ Benefits

• Remote office environment