Credit and Collections Analyst
3 months ago
FULL-TIME | JACKSONVILLE, FL | MONDAY - FRIDAY | BENEFITS
Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.
At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:
- Competitive Health & Welfare Benefits
- Monthly stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months of service with company match (Part-time employees included)
- Employee Assistance Program available 24/7 to provide support
- Employee Appreciation Days/Events
- Paid Holidays & Paid Time Off
- AND MORE
Please see below for the functions and requirements for this position:
ESSENTIAL FUNCTIONS
- Vets accounts to be sent to collections.
- Processes patient refunds.
- Analyzes overpayments on insurance claims to determine if there is a refund.
- Posting payments from prepay status.
- Thoroughly researches credit balances to determine if an overpayment occurred and initiates the refund process accordingly outlining the reason for the refund and including EOB's if necessary.
- Assumes full responsibility for reducing the accounts receivable of insurance and patient credit balances by working through outstanding accounts.
- Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
- Identifies and communicates trends and/or potential issues to the management team.
- Minimum High School Diploma or equivalent
- Minimum two years of experience in medical revenue cycle.
- Must be able to communicate effectively with physicians, and patients, and establish good working relationships with internal and external customers.
- Knowledge of the physician billing processes, ICD-10 and CPT coding.
- Knowledge of computer systems. Experience with Athena patient management system preferred.
- Advanced computer knowledge, including Windows-based programs.
- Skilled in customer service.
- Skill in using computer programs and applications including Microsoft Excel, Microsoft Word, and Outlook.
- Skill in establishing good working relationships with both internal and external customers.
- Ability to multi-task in a fast-paced environment.
- Must be detail-oriented with strong organizational skills.
- Ability to understand patient demographic information and determine insurance eligibility.
- Ability to work independently and demonstrate the ability to analyze data.
QUESTIONS? CONTACT HR@SE-ORTHO.COM
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