Accounts Receivable Coordinator

Accounts Receivable Coordinator

Concord Orthopaedics (COPA), a division of Northeast Orthopaedic Alliance, has been the region's trusted provider of orthopaedic care for decades. We are dedicated to delivering exceptional care through teamwork, innovation, and compassion. Join our team and be part of a supportive environment where your work directly contributes to the quality of patient care.

The Accounts Receivable Coordinator is responsible for ensuring appropriate reimbursement from assigned insurance carriers for all physician services. This role requires strong knowledge of billing, surgical and office coding and appeals, along with excellent organizational and communication skills.

Key Responsibilities

• Manage daily claims worklists to confirm claims are processed and reimbursed correctly.
• Review and interpret Explanations of Benefits (EOBs) for accuracy in payment posting, patient balance transfers, and denials.
• Submit corrected claims based on payer rules and policies
• Appeal denied claims as appropriate, including submission of clinical documentation via insurance portals.
• Utilizing payer websites and calling representatives for clarification of claim denials or status of pending claims.
• Confirm active insurance coverage for patients and resubmit claims.
• Handle inbound calls as part of the Business Office phone queue, assisting patients, insurance representatives, and referring offices.
• Process patient credit card payments and identify credit balances and initiate patient refunds
• Participate in monthly Business Office team meetings.
• Provide cross-coverage support for other business office functions as needed.

Qualifications

• High School Diploma required.
• Medical office and surgical billing experience preferred.
• Strong typing, computer, documentation, and analytical skills.
• Excellent communication, time management, and organizational abilities.
• Ability to work effectively as part of a team and maintain professionalism in a fast-paced environment.
• Strong attention to detail and accuracy.

Physical Requirements

• Prolonged sitting and extensive computer/keyboard use.
• Moderate reaching and twisting.