We are seeking an experienced Accounts Receivable (AR) Billing Specialist to join our Pain Management practice and Surgery Center. The ideal candidate will have strong experience in denial management, insurance follow-up, and interventional pain procedure billing.
Responsibilities include:
- Following up on outstanding insurance claims (30/60/90+ aging)
- Resolving denials and submitting appeals
- Reviewing EOBs and underpayments
- Submitting corrected claims
- Working with Medicare, commercial, and workers’ comp accounts
- Ensuring compliance with CMS and LCD guidelines
Additional ASC Responsibilities:
- Working facility claims (UB-04) alongside professional claims (CMS-1500)
- Reviewing implant billing (spinal cord stimulators)
- Verifying correct revenue codes
- Understanding global periods
- Monitoring implant carve-outs
- Reconciling facility payments separately from physician billing
- Coordinating anesthesia billing
- Ensuring prior authorization covers both professional and facility fees
ASC Knowledge Requirements:
- UB-04 billing format
- Revenue codes for pain procedures
- Medicare ASC payment methodology
- Multiple procedure discount rules
- Implant reimbursement guidelines
Requirements & Qualifications
- 5+ years medical AR experience (Pain Management preferred)
- Knowledge of CPT, ICD-10, and modifiers
- Experience with Medicare and commercial payers
- Strong attention to detail
Benefits & Perks
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Vision insurance
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago