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.

REQUIREMENTS

• At least 2 years experience of medical billing, account receivable follow up experience required, with strong emphasis on denial management and third party policy;
• Must have an understanding of clinic operations as it relates to patient registration, referrals, authorizations and cash collections;
• Must possess strong leadership skills and strong attention to detail;
• Must have an understanding of insurance payor reimbursement, authorization, collection practices and practice management systems;
• Must have the ability to maintain the confidentiality of all records;
• Must have the ability to manage multiple tasks and demands given while ensuring a high degree of accuracy and attention to detail;
• Must have effective interpersonal and communication skills.

• Obtains all required authorizations for patients via internet and/or phone in a timely manner and at times with a sense of urgency;
• Responds promptly to inquiries received from clinics either via telephone, email or tasking;
• Keeps providers abreast of patient authorization status including approvals and denials;
• Coordinates with clinic staff to resolve patient relationship issue as it relates to authorization management;
• Contacts insurance companies and escalates issues when authorization approvals and claim payments are not timely and/or received;
• Reviews work ques on a daily basis to ensure productivity standards on patient account follow up is maintained;
• Assists in identifying denial trends for under and overpayments by insurance carriers and escalates as necessary;
• Assists in providing resolution to unpaid, unresolved accounts with payers
• Maintain working knowledge of HIPAA, OSHA, Risk Management and Compliance practices
• Attends staff meetings and assigned training as required.