Accounts Receivable & Credentialing Specialist
Company: ONS MSO LLC
Location: Middletown
Posted on: September 15, 2023
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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
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