Insurance Specialist (Chappaqua)

Regular Work Schedule: M-Th 8.30a-4.30p Fri 8a-4p

Mon‐Thurs 830a‐430p, Fri 8a‐4p (Tues/Thurs/every other Fri remote)

OVERVIEW:

Our client is an end-to-end anesthesia revenue cycle and practice management company with a track record and reputation for superior financial results. We provide exceptional service to 850 providers performing 400,000 cases in over 50 hospital, ambulatory surgery and office facilities in the New York Metropolitan Region, including for our largest client, Northwell Health Anesthesia. We promote a production-oriented, collaborative and communal work environment and take pride in our focus on people and process design.

Our company is undergoing a rapid growth phase and is ramping up hiring across all revenue cycle functional areas. Due to continuous expansion, we offer opportunities for professional growth to our employees. We make significant investments in the training and development of our employees, and we invite you to become a part of our high-performing team.

POSITION SUMMARY: DEMO CLERK

AMS is currently seeking a Demo Clerk to join the team in our Chappaqua, NY office. This professional will report directly to the Clerical Department Team Lead. The Demo Clerk’s primary responsibility is to ensure that complete data capture for all anesthesia case records and associated demographics is achieved to promote efficient and accurate claims processing for company’s client facility locations. The individual will work on a team in a timely, collaborative manner to reconcile clinical activity schedules and coordinate with all relevant stakeholders to resolve missing information.

Schedule: Full-time, Monday – Friday

Location: Hybrid (onsite and remote)

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Responsible for tracking, collecting and reconciling of all records and demographics for anesthesia departments from the various locations of assigned facilities.

• Ensure records and demographics are entered into company’s billing software program with schedules and clean, digital copies of documents for retention purposes.

• Ensure performance of insurance eligibility verification in a high-volume while utilizing various payor portals

• Resolve EDI errors and patient documentation needs thru electronic and verbal communication with facilities, payors, surgeon offices and off-site internal and external staff as required.

• Utilize and effectively navigate software including company’s billing database as well as external payor, facility and vendor portals and software systems.

• Keep direct manager apprised of any issues, hardships in obtaining requested information from providers and facilities.

• Maintain good work habits, including reporting to work on time and adhering to standard work, safety procedures and employee handbook.

• Ability to exercise sound judgment and effective decision-making skills to accomplish goals and creatively problem-solve issues within scope of position

• Serves as a member of the Front-End Team. Performs duties necessary to ensure the team's projects/goals are completed.

QUALIFICATIONS

• Medical record, front-end demographic or healthcare experience preferred

• High school degree

CORE COMPETENCIES

• Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines

• Strong interpersonal and problem-solving skills

• Accuracy and attention to detail

• Proficient with computer applications (MS Office etc.)

• Must be self-motivated with a positive attitude and exceptional work ethic

• Ability to work independently, as well as part of a team, and follow-through and handle multiple tasks simultaneously

• Maintains strictest confidentiality

BENEFITS

• 401(k)

• Health insurance

• Life insurance

• Dental insurance

• Vision insurance

• Disability insurance

• Flexible spending account

• Paid time off