United Surgical Partners
AR Follow Up Specialist
United Surgical Partners, Albuquerque, New Mexico, United States, 87101
Overview
USPI New Mexico Surgery Center - Orthopaedics is hiring an AR Follow Up Specialist. Welcome to USPI New Mexico Surgery Center - Orthopaedics. No Weekends! No Call! Paid Holidays! At USPI New Mexico Surgery Center - Orthopaedics, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Job Title
AR Follow Up Specialist Reporting Relationship
Reports to the Business Office Manager Responsibilities
Proactively contact insurance companies for payment on aging, unpaid, or rejected claims. Investigate claim denials to identify coding errors, missing information, or payer issues. Correct inaccurate demographic information or coding and resubmit claims that were rejected or not received by the payer. Prepare and submit appeals for denied claims, often requiring the input of physicians or coders for supporting medical necessity language. Research network problems, workers’ comp issues, and other complex claim issues to resolve them effectively. Maintain detailed and concise notes on all account activities and communications with insurance carriers. Ensure all actions adhere to federal, state, and payer-specific regulations and guidelines. Generate reports to monitor A/R trends and identify patterns in claim denials to improve processes. Proficiency with medical billing software, practice management systems, and payer websites. Ability to research, analyze, and interpret claim data and EOBs to resolve discrepancies. Excellent verbal and written communication skills to interact with insurance carriers and internal teams. Strong understanding of medical terminology, coding (ICD-10, CPT), and the billing/appeals process for various payers (Medicare, Medicaid, etc.). Ability to think critically and creatively to find solutions to complex billing issues. Education: High School diploma or equivalent; many employers prefer an associate’s or bachelor’s degree in a related field. What We Offer
Medical, dental, vision, and prescription coverage Life and AD&D coverage Short- and long-term disability Flexible financial benefits including FSAs and HSAs 401(k) and retirement planning Paid holidays and vacation Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to an inclusive culture. A diverse workforce with an inclusive culture makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
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USPI New Mexico Surgery Center - Orthopaedics is hiring an AR Follow Up Specialist. Welcome to USPI New Mexico Surgery Center - Orthopaedics. No Weekends! No Call! Paid Holidays! At USPI New Mexico Surgery Center - Orthopaedics, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Job Title
AR Follow Up Specialist Reporting Relationship
Reports to the Business Office Manager Responsibilities
Proactively contact insurance companies for payment on aging, unpaid, or rejected claims. Investigate claim denials to identify coding errors, missing information, or payer issues. Correct inaccurate demographic information or coding and resubmit claims that were rejected or not received by the payer. Prepare and submit appeals for denied claims, often requiring the input of physicians or coders for supporting medical necessity language. Research network problems, workers’ comp issues, and other complex claim issues to resolve them effectively. Maintain detailed and concise notes on all account activities and communications with insurance carriers. Ensure all actions adhere to federal, state, and payer-specific regulations and guidelines. Generate reports to monitor A/R trends and identify patterns in claim denials to improve processes. Proficiency with medical billing software, practice management systems, and payer websites. Ability to research, analyze, and interpret claim data and EOBs to resolve discrepancies. Excellent verbal and written communication skills to interact with insurance carriers and internal teams. Strong understanding of medical terminology, coding (ICD-10, CPT), and the billing/appeals process for various payers (Medicare, Medicaid, etc.). Ability to think critically and creatively to find solutions to complex billing issues. Education: High School diploma or equivalent; many employers prefer an associate’s or bachelor’s degree in a related field. What We Offer
Medical, dental, vision, and prescription coverage Life and AD&D coverage Short- and long-term disability Flexible financial benefits including FSAs and HSAs 401(k) and retirement planning Paid holidays and vacation Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to an inclusive culture. A diverse workforce with an inclusive culture makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
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