Orthopaedic Medical Group of Tampa Bay is a well-established orthopaedic practice with 9 locations, including an ambulatory surgery center. This full-time role focuses on managing the full accounts receivable cycle specifically for the ambulatory surgery center.

Primary responsibilities include following up on unpaid and underpaid claims over 31 days old, documenting patient accounts with claim status, composing appeals for denied or unpaid claims, and analyzing denial trends to management.

Key duties:

Review outstanding insurance claims and contact carriers for resolution prior to patient billing
Contact patients for updated insurance information when necessary
Update and re-bill claims as appropriate
Review rejected claims and appeal when appropriate
Make necessary adjustments to patient accounts
Initiate refund requests when necessary
Manage new and old surgery center accounts receivable
Work closely with payers, file and follow-up on appeals
Handle insurance denials and zero pays
Manage correspondence and credit balances
Handle high dollar claims with commercial and government payors
Answer patient billing questions and take payments
Make outbound patient calls regarding account issues
Maintain confidentiality of patient and financial information

Qualifications:

High school diploma
Minimum 1 year experience in medical billing and collections required
3+ years experience in Medical Accounts Receivable preferred
Knowledge of reimbursement guidelines, CPT and ICD-10 codes, and payor contracts
Strong communication, organizational, and computer skills
Detail and customer service oriented

Physical and environmental requirements consistent with office work.

This position is in-person in Lithia, FL. No remote work offered.

Benefits:

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

Employment is contingent on satisfactory background check.

Equal Opportunity Employer committed to non-discrimination.

Medical Accounts Receivable Specialist