Accounts Receivable Specialist, Workers Compensation

Description

Metro Physical & Aquatic Therapy is a comprehensive multidisciplinary company who offers Physical, Occupational, Speech Therapy, Massage and Acupuncture services. We take great pride in inspiring our team to create an everlasting bond with our patients, our doctors, and our community. But it’s not just what we do, it’s who we are. We are driven by our mission to continually invest in our people and offer the best workplace environment possible.

Metro PT is looking for a motivated and energetic Workers Comp. A/R Specialist  to join us in our Garden City office!  You will be responsible for all aspects of the collections, claims rejections and re-submissions of denied claims to ensure payments are processed in a timely manner. If you're a self-starter who enjoys working in a collaborative environment where you'll have the opportunity to make an impact on a fast-growing company, we want to hear from you!

Status: Full Time with Benefits

Location: On-site in Garden City, NY (not remote eligible at this time)

Schedule: Monday – Friday, 9:00am - 5:30pm or 8:30am-5pm

Responsibilities:

• Communicate with insurance carriers on all Workers Comp/No-fault accounts.
• Follow-up on denials, incorrect payments, and past due accounts
• Take appropriate action on delayed claims by responding to a payer’s request for additional verification in a timely manner.
• Resubmit claims and file appeals as required.
• Provide accurate information, supporting documentation, and effective communication to complete recovery process.
• Coordination of prior authorization for insurance plans in a timely manner.
• Monitor the appropriate reports and obtain continued authorization as required in a timely manner.
• Track fee schedules and insurance denials to ensure fully allowed reimbursement.
• Complete daily tasks, review of A/R reports and maintain proper record keeping in patient accounts.
• Collaborate with other team members to improve overall team environment.
• Identify trends and issues and assist with developing solutions to improve the collection process.
• Track and manage complex issues that occur, escalating and seeking assistance as needed to solve them.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other duties and participates in other projects as requested.

Requirements

• 2 + years experience with claims management process within medical malpractice
  OR professional liability in lines of business with potential severity like medical malpractice such as lawyers, accountants, etc.
• Experience required in Workers Compensation and No Fault
• Knowledge of medical terminology – CPT, Modifiers and ICD-10
• Strong customer service skills; ability to diffuse client frustrations.
• Current or recent experience in a medical practice ensuring compliance with federal, state and local regulations and guidelines.
• Must work well within a team environment.
• Excellent interpersonal and communication skills
• Proficiency in Word and Excel.
• Ability to use logic and problem-solving skills to resolve issues and navigate between dual monitors.
• Ability to work independently under tight deadlines in a rapidly changing environment.
• Ability to handle stressful situations resulting from high volume of phone calls, technical problems, frustrated customers and changes in departmental priorities or procedures.
• Excellent organizational and multitasking skills.