Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages 36 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ and Upstate. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits. Health Plus Management is currently seeking a Full Time Accounts Receivable Associate location. This is an excellent opportunity for anyone who is looking for a long term position with outstanding growth potential.
This position is primarily responsible for overseeing the Accounts Receivable and Collections functions for our family of companies.
HOURS: 8:00am - 4:30pm Monday through Friday
Requirements
Duties and Responsibilities:
- Maintain insurance account receivable management for multiple groups, specialties and payors
- Follow up with insurance companies on unpaid or denied claims
- Resolve claim errors and re-submit claims as appropriate for reimbursement
- Prepare appeal letters to insurance carriers when not in agreement with claim denial
- Identify and report payer issues relating to denial trends or change in payments
- Recommend account adjustments as appropriate
- Maintain appropriate documentation and notes of all collection activity
- Assist with collections efforts in accordance with company policies and procedures in addition to maintaining legal compliancy
- Supports/assists team with additional assigned tasks as needed.
- Knowledge of various billing application
Education and Training
- High School Diploma or equivalent required
- 2+ years of experience with A&R & Denial Management across multiple insurance carriers and specialties
Knowledge and Experience:
- Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
- Knowledge of ICD-10 and CPT codes
Skills and Abilities:
- Must have a strong knowledge of payers and medical insurance terminology for collecting, local coverage determinations policies, A/R follow-up and managed care regulations
- Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
- Detail oriented and strong team player
- Superior customer service and communication skills
- Self-starter with strong problem-solving skills
- Ability to meet high productivity and accuracy standards
Benefits
Health, Dental, Vision, Life insurance, Short term and long Term disability, EAP program, PTO