No-Fault Account Specialist

The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution. 

Pay Range:

$25-27/hour, based on experience

Essential Functions: 

• Obtains all required authorizations for patients via internet and/or phone in a timely manner and at times with a sense of urgency; 
• Responds promptly to inquiries received from clinics either via telephone, email or tasking; 
• Keeps providers abreast of patient authorization status including approvals and denials; 
• Coordinates with clinic staff to resolve patient relationship issue as it relates to authorization management; 
• Contacts insurance companies and escalates issues when authorization approvals and claim payments are not timely and/or received; 
• Reviews work ques on a daily basis to ensure productivity standards on patient account follow up is maintained; 
• Assists in identifying denial trends for under and overpayments by insurance carriers and escalates as necessary; 
• Assists in providing resolution to unpaid, unresolved accounts with payers 
• Maintain working knowledge of HIPAA, OSHA, Risk Management and Compliance practices 
• Attends staff meetings and assigned training as required. 

• At least 2 years experience of medical billing, account receivable follow up experience required, with strong emphasis on denial management and third party policy; 
• Must have an understanding of clinic operations as it relates to patient registration, referrals, authorizations and cash collections; 
• Must possess strong leadership skills and strong attention to detail; 
• Must have an understanding of insurance payor reimbursement, authorization, collection practices and practice management systems; 
• Must have the ability to maintain the confidentiality of all records; 
• Must have the ability to manage multiple tasks and demands given while ensuring a high degree of accuracy and attention to detail; 
• Must have effective interpersonal and communication skills.

Comprehensive Benefits:

•  Unmatched paid time off that includes Vacation, Sick, and Personal days!

•  401k Matching - It’s never too early to start thinking about retirement!

•  Comprehensive health benefits (medical, dental, vision)