Professional Physical Therapy

Compensation

Full Description

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. 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)