Accounts Receivable Representative I jobs in United States
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Hospital for Special Surgery · 23 hours ago

Accounts Receivable Representative I

Hospital for Special Surgery is a top-ranked hospital for orthopedics and rheumatology. The Accounts Receivable Representative I will assist with contracts, coordinate physician enrollment in managed care plans, resolve payment issues with insurance payors, and maintain documentation related to these processes.

Health CareMedical
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Develops/Manages Processes & Systems - Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling
Upholds Standards/Expectations of HSS Staff - Coordinates enrollment Coordinates physician enrollment in managed care plans
Upholds Standards/Expectations of HSS Staff - Ensures compliance Ensures compliance of managed care companies with negotiated contracts
Upholds Standards/Expectations of HSS Staff - Resolves payor issues Follows-up and resolving payment issues with Insurance Payors
Upholds Standards/Expectations of HSS Staff - Acts as liaison Acts as a liaison between physician offices and Insurance Payors
Upholds Standards/Expectations of HSS Staff - Assists with meetings Schedules, coordinates, and documents for all PHO related meetings
Maintains Documentation & Manages Information - Maintains tracking logs Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items
Upholds Standards/Expectations of HSS Staff - Oversees PHO line Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues
Upholds Standards/Expectations of HSS Staff - Attendance Maintains satisfactory attendance record
Upholds Standards/Expectations of HSS Staff - Maintains punctuality Reports for duty punctually
Upholds Standards/Expectations of HSS Staff - Adjusts to change Adjusts to changing situations and work assignments

Qualification

Medical billingCPT codingICD-10 codingHCPCS codingMicrosoft Office SuiteCustomer serviceFlexible team playerEpic experiencePositive attitudeProblem solving

Required

Previous applicable experience in healthcare, hospitality or other highly visible customer service required
High School Diploma or equivalent (G. E.D.), may include specialized or vocational courses

Preferred

Previous medical billing and customer service experience highly desirable
Knowledge of third party operating procedures, regulation, and billing requirements as well as government reimbursement programs
Knowledge of CPT, ICD-10, HCPCS coding and Medical Terminology and Collections
Proficient in uses of computerized registration and billing systems and personal computers, including Microsoft Office Suite
Ability to identify trends with regard to third party payer denials and proactively problem solve
Positive attitude, flexible team player
Epic experience preferred
Associate's degree or enrolled in college working toward degree

Company

Hospital for Special Surgery

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Hospital for special surgery is the top ranked new york hospital for orthopedics and rheumatology.

H1B Sponsorship

Hospital for Special Surgery has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (23)
2024 (20)
2023 (27)
2022 (32)
2021 (18)
2020 (27)

Funding

Current Stage
Late Stage
Total Funding
$36.6M
Key Investors
Stavros Niarchos Foundation (SNF)Flare Capital Partners
2023-06-12Grant· $10M
2022-10-25Series A· $21M
2018-07-16Grant· $5.6M

Leadership Team

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Tara M. McCoy
Chief Executive Officer, HSS Florida
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Bill Donato
Vice President Supply Chain
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Company data provided by crunchbase