AR Insurance Financial Counselor

Responsible to: AR Lead and AR Director

Job Summary: Responsible for managing of assigned account aging queues.  Following up with insurance balances; and analyzing denial trends and coding edits.  Assist patient financial counselors with inquires and phone assignments.

Educational Requirements:

• High School diploma required
• Strong accounting computer skills required
• Knowledge of ICD-9 and CPT Codes preferred

Qualifications and Experience:

• 2 years’ experience in accounting, data entry or medical payment posting and medical collections
• Strong interpersonal skills
• Ability to perform multiple and diverse tasks simultaneously
• Strong written and verbal communication skills

Responsibilities include, but are not limited to, the following:

• Handle incoming phone calls
• Update patient and insurance demographic errors
• Review daily scrubbers and fix identified errors
• Complete write off, adjustments and transfers
• Review assigned queues and analyze accounts
• Respond to all emails timely
• Repost charges, adjustments and payments on accounts
• Complete appeal process with insurance guidelines
• Communicate with members of the team
• Research and advise patients and PCA of insurance updates
• Review and complete incoming correspondence timely
• Assist in training new team members
• Process Credit Card Payments
• Generate and monitor daily audit journals for errors
• Maintain current fee schedules by assigned queue
• Research insurance credit balances and follow refund polices

General Administration

• Maintains detailed knowledge of insurance denials and trends
• Works hours coincide with Orlando Orthopaedic Centers operating hours plus possible weekends when needed

Typical Physical Demands:

Work may require sitting for long periods of time and also stooping, bending and stretching for supplies.  Position requires manual dexterity sufficient to operate a keyboard, operative a computer, calculator, copier, and other office equipment as necessary.  Position also requires viewing computer screen and typing for longs periods of time, and working in an environment which may be stressful.