Practice Billing Associate - Workers Compensation Collector

Position Overview

Orlin & Cohen Orthopedic Group - Northwell Health is the premier and fastest-growing orthopedic practice on Long Island. With over 20 offices across Nassau and Suffolk Counties, Queens, and Staten Island and 30 years of excellence in care, our mission is to help our community live more active lives, free from pain. In this role you will perform billing, collections, third party reimbursements, computer data entry and retrieval, and help post charges to accounts.

Key Responsibilities

• Performs charge and payment entry; also performs coding and ensures accurate completion of coding for all assigned physician specialties.
• Aids review of physician's coding and identifies possible conflicts in rules.
• Notifies physician when discrepancies are identified for correction.
• Coordinates incoming mail with open queue charges to maintain queue status.
• Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies causes and selects appropriate resolution methods.
• Creates detailed, well-versed letters to insurances and patients.
• Creates effective appeal packages to submit to insurances.
• Communicates in a professional manner when interacting with insurances and patients.
• Maintains organized files of incoming and completed work.
• Performs related duties as required.
• Workers Compensation Collector:
  • Reviewing past due accounts and related documentation.
  • Contacting patients, guarantors, and/or third-party payers to secure payments and resolve assigned accounts.
  • Reviewing and following-up on workers compensation denials and delays.
  • Appealing incorrect denials and payments.
  • Responding to carrier verification requests in a timely manner.
  • Tracking and reporting all account information.
  • Adhering to all HIPAA guidelines and regulations.

Required Qualifications

• High School Diploma or equivalent required.
• 0-1 years of relevant experience.

Benefits & Perks

• Compensation: The salary range and/or hourly rate listed is a good faith determination of potential base compensation for a successful applicant at the time of this job advertisement and may be modified in the future. Factors such as location, specialty, service line, years of experience, education, credentials, negotiated contracts, budget, and internal equity may be considered.