Accounts Receivable Specialist

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Accounts Receivable Specialist Full Time 37.5 Garden City, NY, US 30+ days ago Requisition ID: 1005 Salary Range: $25.00 To $28.00 Hourly 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. Job Summary: The Insurance Accounts Receivable Specialist manages and analyzes insurance accounts receivable, ensuring timely and accurate resolution of patient and insurance balances. This role involves proactively following up on outstanding claims and collaborating closely with insurance carriers, internal teams, and physicians to maintain the integrity of the revenue cycle and maximize collections. 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 ensureaccuratecontracted and non-contracted payments. Processing daily correspondence to ensuretimelyandappropriate claimresolution. Preparing andsubmittingwritten appeals with supporting documentation. Requesting and obtaining medical records to support appeals. Managingaccounts withreceivable 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 carriersregardingclaims adjudication. Performingadditionalduties 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: Certified Professional Coder (CPC) certificationplus.

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. #J-18808-Ljbffr Evolving Solution Services