Accounts Receivable Specialist

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Full Time 37.5 Garden City, NY, US

Salary Range: $25.00 To $28.00 Hourly

New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care. Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes.

The Insurance Accounts Receivable Specialist manages and analyzes insurance accounts receivable, ensuring timely and accurate resolution of patient and insurance balances. This role involves proactively following up on outstanding claims and collaborating closely with insurance carriers, internal teams, and physicians to maintain the integrity of the revenue cycle and maximize collections.

• Minimum of 3 years’ experience in medical insurance collections.
• Proven experience handling a wide range of insurance denials.
• Experience with Independent Dispute Resolution (IDR) billing is a plus.
• Reviewing Explanation of Benefits (EOBs) to ensure accurate contracted and non-contracted payments.
• Processing daily correspondence to ensure timely and appropriate claim resolution.
• Preparing and submitting written appeals with supporting documentation.
• Requesting and obtaining medical records to support appeals.
• Managing accounts with receivable aging reports to resolve outstanding balances.
• Meeting regularly with physicians to review A/R status and address problem accounts.
• Preparing refund request letters and write-off requests with supporting documentation.
• Communicating directly with insurance carriersregardingclaims adjudication.
• Performingadditionalduties as assigned, including managing special aging accounts.

• Excellent organizational and communication skills with strong attention to detail
• Ability to work independently and collaboratively within a team environment
• Proven ability to prioritize tasks and manage multiple responsibilities in a fast-paced setting
• Proficient in computer applications with solid analytical and basic mathematical skills
• Working knowledge of CPT and ICD-10 coding
• Understanding of in-network and out-of-network claim processing guidelines and protocols

• Certified Professional Coder (CPC) certification plus.

• Comprehensive
  
  Health Benefits:
  
  Medical, Dental, and Vision Coverage.
• Voluntary Benefits:
  Options include Aflac (short-term disability, hospital, accident, and cancer coverage), long-term disability, life insurance, and pet insurance.
• Paid Time Off:19 PTO days per year, in addition to 8 paid holidays.
• Retirement Benefits:401(k) plan with a discretionary company match.
• Cosmetic & Med Spa Perks:
  Employee discounts on services and products at Deep Blue Med Spa.
• Additional discounts through PLUM and Work Advantage programs.