Accounts Receivable Specialist

6 days ago

Garden City, New York, United States New York Plastic Surgical Group Full time $60,000 - $80,000 per year

About us:

New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care.

Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation's most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes.

Required Experience:

  • Minimum of 3 years' experience in medical insurance collections.
  • Proven experience handling a wide range of insurance denials.
  • Experience with Independent Dispute Resolution (IDR) billing is a plus.
  • Reviewing Explanation of Benefits (EOBs) to ensure accurate contracted and non-contracted payments.
  • Processing daily correspondence to ensure timely and appropriate claim resolution.
  • Preparing and submitting written appeals with supporting documentation.
  • Requesting and obtaining medical records to support appeals.
  • Managing accounts with receivable aging reports to resolve outstanding balances.
  • Meeting regularly with physicians to review A/R status and address problem accounts.
  • Preparing refund request letters and write-off requests with supporting documentation.
  • Communicating directly with insurance carriers regarding claims adjudication.
  • Performing additional duties as assigned, including managing special aging accounts.

Key Responsibilities:

  • Excellent organizational and communication skills with strong attention to detail
  • Ability to work independently and collaboratively within a team environment
  • Proven ability to prioritize tasks and manage multiple responsibilities in a fast-paced setting
  • Proficient in computer applications with solid analytical and basic mathematical skills
  • Working knowledge of CPT and ICD-10 coding
  • Understanding of in-network and out-of-network claim processing guidelines and protocols

Education Requirements:

  • Bachelor's degree preferred
  • Certified Professional Coder (CPC) certification plus.

Location: Garden City (Hybrid Schedule)

(Training will be conducted at our Garden City location for a period of 1–3 months).

Compensation: $25.00-$28.00

WHAT WE OFFER:

  • Comprehensive Health Benefits: Medical, Dental, and Vision Coverage.
  • Voluntary Benefits: Options include Aflac (short-term disability, hospital, accident, and cancer coverage), long-term disability, life insurance, and pet insurance.
  • Paid Time Off: 19 PTO days per year, in addition to 8 paid holidays.
  • Retirement Benefits: 401(k) plan with a discretionary company match.
  • Cosmetic & Med Spa Perks: Employee discounts on services and products at Deep Blue Med Spa.
  • Additional discounts through PLUM and Work Advantage programs.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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