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No-Fault Account Specialist
Full-Time | Remote
Base Salary: $24.76–$27.83/hour (commensurate with experience)
The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify, and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution.
What You'll Do
- Obtain required patient authorizations through payer portals and by phone.
- Respond to clinic inquiries via phone, email, and internal tasking systems.
- Communicate authorization approvals, denials, and status updates to providers.
- Partner with clinic staff to resolve authorization-related issues.
- Follow up with insurance carriers on authorizations and claim payments, escalating issues as needed.
- Manage daily work queues to meet established productivity standards.
- Identify denial, underpayment, and overpayment trends and escalate as appropriate.
- Follow up on and resolve unpaid or outstanding accounts with payers.
- Maintain knowledge of HIPAA, OSHA, Risk Management, and compliance requirements.
- Attend required staff meetings and training.
What You'll Bring
- 2+ years of experience in medical billing, accounts receivable, and denial management.
- Knowledge of clinic operations, including patient registration, referrals, authorizations, and cash collections.
- Understanding of insurance reimbursement, authorization and collection practices, and practice management systems.
- Strong attention to detail and ability to manage multiple priorities while maintaining accuracy.
- Strong interpersonal, written, and verbal communication skills.
- Ability to maintain confidentiality and handle sensitive patient information appropriately.
- Demonstrated leadership skills and ability to work collaboratively with clinic teams.
Benefits
Rest, Reset & Recharge: 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.
Plan Ahead: Company-matched 401(k) available once eligibility requirements are met.
Care for Your Crew: MetLife Pet Insurance with flexible plans and 24/7 telehealth support.
Play More, Pay Less: Exclusive discounts through PlumBenefits and LifeMart.
Equal Opportunity Employer, including Disabled/Veterans.
Requirements
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