Overview:
The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients.
Responsibilities Include but are not limited to:
Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
Investigates and resolves denied claims in a timely manner.
Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
Download and review electronic and paper EOBs for denied claims and line-item denials.
Identifies and reviews delinquent accounts and pursues collection as needed.
Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
Coordinates medical record requests with the main office for appeal purposes.
Communicate accurate patient and billing information to the Insurance carrier.
Prepare weekly reports to review with management with updated status and communication.
Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
Demonstrated computer proficiency with knowledge of Microsoft Office.
Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
Performs other related duties as assigned.
Skills/Requirements:
Strong knowledge of medical insurance, billing guidelines, and compliance.
Knowledge of medical terminology, experience in orthotics and prosthetics preferred.
Practice management software experience highly preferred- Waystar, OPIE, and Medflex experience a plus.
Knowledge of how to navigate NY Medicaid and CT Medicaid portals.
Knowledge of the ePaces portal is highly preferred.
Experience working with billing/AR claims including NY Medicaid.
Demonstrates professional and positive communication with interpersonal skills.
Must be highly detail-oriented with the ability to handle multiple tasks.
High attention to detail and ability to problem solve claim resolution.
Experience in driving process improvement.
Bi-lingual (Spanish), a plus.
Education and Experience:
High school graduate or equivalent required; Associate degree or equivalent preferred.
Experience working in a medical practice/healthcare setting; at least 2 years preferred.
Physical Requirements:
Sitting at a computer/desk for long periods of time.
About Eschen/NEOPS:
Eschen Prosthetic and Orthotic Laboratories (Eschen)/New England Orthotics and Prosthetics (NEOPS) is comprised of the best orthotists and prosthetists in the country who are recognized across the nation as first class clinicians providing specialized orthotic and prosthetic services.
We are comprised of 26 locations spread throughout the northeast from Long Island to Rhode Island.
In addition to working independently we also work in partnership with major healthcare institutions such as the Hospital for Special Surgery (HSS), NY-Presbyterian, Montefiore, Northwell Health, Tufts Medical Center and many more.
Our mission is to help every patient live a life of full functionality and comfort.
We treat our patients as if they were our own family and do everything in our power to fully support them in reaching their goals.
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