Accounts Receivable & Appeal Specialist - Tampa, FL & Sioux Falls, SD

NSN is the best, because we employ the best. If you are looking for an opportunity to work in this innovative, fast paced environment, look no further. This is an incredible opportunity for individuals with STRONG Revenue Cycle experiences. Must have at least 2-5 years of medical billing experience. Orthopedic/ Pain Management/ Ambulatory Surgery Center billing experience is highly preferred.

Responsibilities

  • Responsible for follow-up of all unpaid/denied claims with insurance carriers
  • Work all incoming correspondence including refund requests
  • Review and send appeals on claims
  • Working knowledge of LCD’s and how to use them
  • Work accounts to resolution
  • Ability to review medical documentation for medical necessity
  • Ability to review patient balances and resolve patient billing issues
  • Must have knowledge of ASC billing and coding. Out of network experience helpful.
  • Payment posting for assigned centers as needed
  • Performs other job-related duties as assigned.

Requirements

  • At least 2-5 years of medical billing experience. Orthopedic/Pain management/ Ambulatory Surgery Center billing experience is highly preferred
  • Sound judgment and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis
  • The ability to communicate effectively, both verbally and in writing, with internal and external clients
  • Work independently to identify and resolve complex client problems.
  • Be able to multi-task and handle competing priorities while meeting or exceeding deadlines
  • Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems
  • Ability to work independently and as a member of the team
  • Must possess positive attitude to enhance a cooperative and energetic work environment
  • Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards
  • Proficiency in MS Word and Excel a must. Experience with Vision, AdvantX and/ or Zirmed/Waystar is helpful.

Apply Here