Orthopedic Collections Specialist

5 hours ago


Yonkers, New York, United States Midwest Orthopaedics at Rush Full time
Join Our Team as a Collections Specialist

Midwest Orthopaedics at Rush is a leading provider of comprehensive orthopedic services, and we're seeking a highly skilled Collections Specialist to join our team. As a key member of our revenue cycle team, you'll play a critical role in ensuring accurate and timely claims follow-up and accounts receivable resolution.

Key Responsibilities:
  • Analyze authorizations, claims, and other relevant information to identify the next appropriate action toward payment resolution.
  • Follow government and third-party payor guidelines to ensure complete and timely follow-up on open balances for assigned payors or accounts.
  • Perform appeals, underpayment appeals, and disputes by following government and third-party payor appeals guidelines or contracted terms.
  • Collaborate with the Revenue Cycle Analyst to identify patterns and interpret denial trends.
  • Work to minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources.
Requirements:
  • High School Diploma or equivalent; Associates or Bachelor's Degree preferred.
  • 3-4 years of related experience in a business office or on a revenue cycle team; Preference given for physician or medical group CMS 1500 experience.
  • Strong expertise with Blue Cross Blue Shield claims submission, denial resolution, and appeals processes.
  • Knowledge of durable medical equipment requirements, workers compensation, motor vehicle, and personal injury claims.
  • Experienced with patient accounting systems – Athena preferred.
What We Offer:

Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package, as well as opportunities for growth and development in a dynamic and supportive environment. If you're a motivated and detail-oriented professional with a passion for healthcare, we encourage you to apply for this exciting opportunity.


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