Workers' Comp Accounts Receivable Specialist

Company Overview

iSpine Clinics is dedicated to enhancing the quality of life for our patients through non-surgical solutions for musculoskeletal pain. With a focus on spine, neck, and extremity disorders, we provide comprehensive pain management and physical medicine services across the Twin Cities, ensuring personalized care that promotes long-term relief and an active lifestyle.

General Summary of Duties: The Work Comp Accounts Receivable Specialist is responsible for maximizing reimbursement by working with Work Comp carriers, attorneys, employers, and other 3rd parties to resolve payment issues.

Position Reports to: Revenue Cycle Accounts Receivable Lead

Duties and responsibilities:

• File interventions, calculate Spaeth balances, negotiate settlements as needed and appropriate
  
• Work closely with insurance adjusters, attorneys, and other 3rd parties to ensure our corporate interests are protected by mail, email, fax, or phone call
  
• Collaborate with attorneys and providers for narratives, depositions, etc.
  
• Resolve outstanding work comp insurance claims and reconcile accounts to ensure correct payment is received and denials are dismissed
  
• Maintain work queue and/or due dates current within 3 business days
  
• Research all duplicate payments and process refunds if appropriate
  
• Re-file claims when necessary and appropriate only after payer contact
  
• Understanding of and adherence to payer policies and protocol
  
• Identify non-payment trends for payers and work with lead/manager to resolve
  
• Keep lead/manager apprised of any internal/external issues and concerns preventing and/or disrupting daily workflow
  
• Other duties as assigned
  

Work environment:

The work of this position is performed in an environmentally controlled office environment. The position requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies and other members of the public.

If you are ready to contribute to a team that prioritizes patient care while ensuring financial accuracy, we invite you to apply today at iSpine Clinics!

Job Qualifications:

• Minimum of 3 years of AR experience in healthcare office or 1-year dedicated to Work Comp payers
  
• Working knowledge of Work Comp billing, arbitration, interventions, litigation and Spaeth balances
  
• Must have working knowledge of ICD, CPT, HCPCs code and modifiers and the application of each code set
  
• Ability to establish and maintain effective working relationships with patients, staff, and community
  
• Skill in identifying and resolving problems
  
• Ability to read, write and communicate effectively orally and in writing
  
• Proficiency in the operation of a computer and other office equipment
  
• Sit for extended periods of time; push, pull and reach; occasionally bend, stoop and stretch
  
• Maintain a current and valid driver’s license as position may require occasional driving to other locations