Essential Duties:

• With minimum supervision analyzes and update all assigned AR accounts to ensure a timely and appropriate solution and closure in accordance to the payers' policy guidelines.
• Crossed trained on all aspect of the back office including, posting, Accounts Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc.
• Phone must be tum on daily and ready to receive all calls related to patient bills, whether from patients or insurance companies
• Check Navinet, or payors website for payment statues and set a follow-up bean on open balance accounts constantly.
• Surgimate must be turn on daily and ready to assist with pre-surgery requirement including pricing check.
• Provide a monthly update on all litigation accounts and closure
• Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions
• Handles patient and co-worker, physicians billing questions/inquires and forwards all complex/problem questions to direct Manager
• Answers all correspondence from insurance companies and  physicians regarding outstanding balance and write off request.
• Understands patient confidentiality laws and requirements that dictate release of information .
• Perform 30, 60, 90 days review and document all outstanding accounts relating to assigned payor or group.
• Send out 90 days claims status letter to patient on all outstanding passing 90 days past due.
• Send out 9 months patient appeal letters on all outstanding balance passing 9 months threshold.
• All account must be documented with current status and strategy to bring claim to closure.
• Compile claims data and update logs, tracking and trending reports and communicate denial trends with urgency
• Reconciles detailed AR accounts; review and process account adjustments and overpayment refunds in an efficient and timely manner
• Participate in all billing and collection related meetings to discuss new and on-going account resolution
• Responsible for timely completion of all new hire training, departmental training and yearly compliance training on an ongoing basis.
• Responsible for timely and accurate completion of timesheets/ time records for hours work and payroll processing. Time records must be completed and approved by employee no later than close of business on last day of each pay period.

• Minimum of 4 years experience in medical accounts receivable office
• Knowledge of healthcare insurance billing required
• Authorized to work in the US without sponsorship
• Minimum High School Degree or GED equivalent
• English
• Knowledge in: Microsoft Excel

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.