AOSMI was founded in 2007 with the merger of two of the areas longest tenured practices – Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates. For more than 25 years, each has been a leader in providing quality orthopedic, sports medicine, physical therapy and pain management care. Together as one, we are even stronger and making a real difference in people’s lives. The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience. Our surgeons and staff are committed to restoring your health so that you can resume your normal routines as quickly as possible. We pride ourselves on exceptional service, medical expertise, and close doctor-patient relationships that all contribute to the healing process. You get the attention and treatment you need from Advanced Orthopedics – to feel better faster.

Position Summary:

The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments. The AR/Collection representative II core responsibility includes but not limited to minimizing financial risk to the AOSMI and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution. This position is located in Freehold, New Jersey.

Schedule: Monday-Friday, 8:00am-4:30pm

Essential Duties:

• With minimum supervision analyzes and update all assigned AR accounts to ensure a timely and appropriate solution and closure in accordance to the payers’ policy guidelines.
• Crossed trained on all aspect of the back office including, posting, Accounts Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc.
• Phone must be turn on daily and ready to receive all calls related to patient bills, whether from patients or insurance companies
• Check Navinet, or payors website for payment statues and set a follow-up bean on open balance accounts constantly.
• Surgimate must be turn on daily and ready to assist with pre-surgery requirement including pricing check.
• Provide a monthly update on all litigation accounts and closure
• Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions
• Handles patient and co-worker, physicians billing questions/inquires and forwards all complex/problem questions to direct Manager
• Answers all correspondence from insurance companies and AOSMI physicians regarding outstanding balance and write off request.
• Understands patient confidentiality laws and requirements that dictate release of information
• Perform 30, 60, 90 days review and document all outstanding accounts relating to assigned payor or group.
• Send out 90 days claims status letter to patient on all outstanding passing 90 days past due.
• Send out 9 months patient appeal letters on all outstanding balance passing 9 months threshold.
• All account must be documented with current status and strategy to bring claim to closure.
• Compile claims data and update logs, tracking and trending reports and communicate denial trends with urgency
• Reconciles detailed AR accounts; review and process account adjustments and overpayment refunds in an efficient and timely manner
• Participate in all billing and collection related meetings to discuss new and on-going account resolution
• Responsible for timely completion of all new hire training, departmental training and yearly compliance training on an ongoing basis.
• Responsible for timely and accurate completion of timesheets/ time records for hours work and payroll processing. Time records must be completed and approved by employee no later than close of business on last day of each pay period.

Standards of Performance:

• Performs all duties and demonstrates behaviors and attitudes consistent with the Mission Statement and Core Values of the organization.
• Consistently demonstrates commitment to customer service excellence in all interactions with patients, family members, visitors and other staff that are consistent with Service Excellence performance standards.
• Continually participates in building and maintain positive working relationships through effective communication, performance improvement and teamwork efforts.
• Demonstrates the ability to clearly and effectively communicate (to include reading, writing and speaking) to all patients, family members, visitors and other staff member with the expectation that each employee within the context of their specific job duties can read, interpret, understands and communicate clearly and effectively in order to ensure proper understanding, all written/verbal communication are followed and information is shared appropriately.
• Demonstrates, maintains and upholds expectations set forth in the organizational Code of Conduct and Compliance Program.
• Most maintain moral and ethical standard set forth by the AOSMI
• Actively participates in the safety programs of the organization by identifying potential risks and promoting patient safety as well as environmental safety.
• Accomplishes individual and team goals and objectives established by supervisor based on prior performance evaluation

Minimum Education, Experience (including licensure), Knowledge, Skills and Abilities:

• Must possess a high school diploma or GED equivalent.
• Minimum of four years of experience in a medical accounts receivable Office
• Knowledge of healthcare insurance billing required
• Knowledge of medical terminology required
• Must possess strong customer service skills.
• Ability to communicate effectively, both orally and in writing.
• Ability to work well with others.

Physical Demands, Environment and Working Conditions:

• Require sitting and standing associated with a normal office environment.
• Job requires manual dexterity using computer keyboard and/or calculator.
• Professional attire; no sandals or flip-flops.
• This position may require lifting small boxes and bending to look for information.
• This is not a work from home position; require being physically in the office. At managers discretion considerations could be made.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Work Location: One location

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