Job Description

536069

Medical Center

Neurological Surgery

Full Time

Opening on: May 13 2023

Grade 103

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Job Type: Officer of Administration

Bargaining Unit:
Regular/Temporary: Regular

End Date if Temporary:
Hours Per Week: 35

Salary Range: $58,500.00 $75,000.00

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

An Accounts Receivable Specialist is responsible for collecting payments for unpaid claims by insurance company using skills in project management, organization and communications to collect the payments from clients and customers. Accounts Receivable will be expected to secure revenue by verifying and resolving any claim discrepancies. The candidate must be organized and have a keen eye for detail to spot any issues that may arise.

Responsibilities

An Accounts Receivable Specialist has the following responsibilities:

Follow-up, review and research claim denials from insurance companies.

Serve as day-to-day liaison to agency’s third-party billing company.

Reduce accounts receivable by reviewing claims rejected for coding.

Regular interaction and investigation of NSU accounts in EHR software.

Work with difficult insurance payers to ensure payments and maintain healthy relationships.

Communicate with payors and customers to request payment and arrange payment plans.

Manage assigned accounts to determine needed action/next steps (charge correction, appeal, adjustment) based on EOB denial.

Responsible for working on complex coding denials.

Charge correct claims as needed where a modifier, CPT code, or ICD-10 diagnosis code need correction for resubmission.

Initiate, develop affective letters of medical necessity (LMN) to appeal denied claims based on payer requirement and medical documentation.

Complete and submit approved reconsideration requests or appeals to insurance companies.

Document in detail all follow up activity in EMR and maintain records of promised payments and account statuses and follow -up timely.

Assist in general A/R analysis to determine where edits and auto-adjustments will be required to improve workflows as needed.

Identify payor denial trends by payor, CPT code(s), ICD-10 diagnosis code(s) and properly escalate to senior leadership.

Engaging in ongoing educational opportunities to update job knowledge.

Operate in a team-oriented work environment.

Perform related duties as assigned within scope of practice.

Minimum Qualifications

Bachelor's degree or equivalent in education and experience, plus two years of related experience.

Must be CPC certified.

Other Requirements

An ability to prioritize and manage expectations, and work independently.

Ability to communicate effectively and efficiently in verbal and in written format.

Mathematical background and a keen eye for detail.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

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