Accounts Receivable & Credentialing Specialist

Company: ONS MSO LLC
Location: Middletown
Posted on: September 15, 2023

Job Description:

Who we areSpire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital, and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Rooted in the 100-plus-year legacy of its founding partners, the network spans the Northeast with 128 physicians, over 1100 employees, and 28 locations from Connecticut, New York, and Massachusetts.Join the patient-centric team at Middlesex Orthopedic & Spine Associates and see how the revenue cycle team plays an integral role in providing world-class care and customer service. Thrive as a valued member of this growing team, where we are committed to excellence across all aspects of our organization.See our website to learn about our history of providing exceptional care in central Connecticut. What you'll doChannel your expertise as an Accounts Receivable Specialist and allow your keen attention to detail shine as you take on this important role. In this role, you will resolve insurance denials and aged receivables primarily related to credentialing issues. In addition to working in the Revenue Cycle Department, you will also partner with our Contracting & Credentialing Team and our Software Support Team.ResponsibilitiesResearch/rectify third-party denials/edits, requests for information, and other related correspondenceIdentify and analyze open claimsIdentify and correct billing errorsRe-submit claims to insurance carriersThe Accounts Receivable Representative must have a thorough knowledge of government, WC, Auto accident, commercial, HMO, PPO, and other types of insurance billing guidelines, demonstrate effective judgment when processing all claimsMonitor past-due accounts for paymentContribute to a cohesive departmental unitThis position plays a key role in the efficient and effective financial operations of the practice. Join a dedicated team focused on empowering orthopedic and spine specialists to transform patient lives and to be the best orthopedic and spine network in our community.What we offerExcellent growth and advancement opportunitiesDynamic environmentAccess to a diverse network of practitionersBroad infrastructure of tools and programs to enhance the employee experienceCompetitive CompensationGenerous PTOBenefits package: health, dental, vision, 401(k), etc.We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").Who you areQualifications3 Years' experience working in healthcare accounts receivable department resolving rejections and denials. Required.Multiple systems: PM Mod-med, Trisetto, Remedics. Experience preferred, not required.Self- starter, team player, analytic & problem-solving abilityAbility to utilize technology available including use and navigation of Microsoft Word, Excel, and Outlook, as well Internet functionsGood communication skills required.Orthopedic Experience preferred, not required.Mod-Med Experience preferred, not required.High degree of initiative, professionalism, and independent judgment.

Keywords: ONS MSO LLC, Middletown , Accounts Receivable & Credentialing Specialist, Other , Middletown, Connecticut