No-Fault Account Specialist

3 days ago

City Of Melville, Australia Professional Physical Therapy Full time

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:

$24-27/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.

Requirements:

- 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)

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