Payment Recovery Specialist jobs in Connecticut

Description

Who we are: 

Spire 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. www.middlesexortho.com

What you’ll do: 

Channel your expertise as a Payment Posting Representative 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.  

Responsibilities/Duties:  

• Post insurance receivables to accounts for all payers.
• Analyze payments for accuracy and monitor for issues including underpayments, denials, proration issues.
• Report any payment discrepancy trends.
• Assist with insurance and patient refund research and resolution.
• Post refunds as necessary.
• Download files from payer websites, balance files to bank receivables to ensure posting accuracy.
• Assist with month end closing and monitoring files to ensure all receivables are posted timely.
• Contribute to a cohesive departmental unit.

This 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 offer: 

• Excellent growth and advancement opportunities 
• Dynamic environment 
• Access to a diverse network of practitioners 
• Broad infrastructure of tools and programs to enhance the employee experience    
• Competitive Compensation 
• Generous PTO  

• Benefits 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”).  

Qualifications

Who you are:  

Qualifications:  

• Orthopedic billing experience preferred.
• Three years’ experience posting payments in a medical office environment.
• Excellent organization skills.
• Comprehensive knowledge of medical reimbursement.
• Ability to utilize technology available including use and navigation of Microsoft Word, Excel, and Outlook, as well Internet functions
• Good communication skills required.
• Mod-Med Experience preferred, not required.
• Trizetto experience preferred.
• Remedics experience preferred.
• High degree of initiative, professionalism, and independent judgment.