AR / Denials Specialist

Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Accounts Receivable / Denials Specialist to our team. With fifteen ambulatory surgery centers and thirty-one clinic locations across Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state of Georgia We are looking for a motivated and hard-working AR / Denials Specialist who can join our growing team of professionals. Job Duties: Processes assigned AR, working to maximize collections while minimizing aging ARProcess insurance denials and appeals to ensure timely account resolutionIdentify denial trends and provide management with a summary of identified issuesManages outstanding accounts to include following up with insurance carriers for overpayments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely paymentsReview AR aging to ensure timely collection of paymentsReview and initiate payor and patient refundsAppropriately documents issues, sources, and actions taken on each accountIdentify, document, and report payer denial trends to billing manager for escalated follow-upCreates reports regarding the status of patient accounts as requestedAddress inquiries from insurance companies, patients, and providersEnsure claim information is complete and accuratePost office paper zero pay denials, and scan into our systemVerify patient benefits and eligibilityMaintain denials productivity spreadsheetFollows HIPAA guidelines in handling patient information Qualifications:Minimum of 3 years' experience with accounts receivable or revenue cycle in a medical settingExperience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury casesKnowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care ManagementKnowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols requiredExcellent computer skills and familiarity with Microsoft OfficeComfortable working in a growing, dynamic organization and able to navigate change.Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environmentBachelor's degree preferredExperience using eClinicalWorks preferredExperience with Pain Management preferred The position is full time with competitive salary, PTO, health benefits and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office, North Carolina, South Carolina, or near Austin, Texas where a subset of the billing team are located.