Alliance Spine and Pain provides life-changing pain relief for chronic pain patients.
Our team consists of a diverse practice of medical providers, administrative professionals, and supporting staff who help our patients live fuller, more functional, and fulfilling lives.
The workplace culture at Alliance is goal-oriented and family-centered. We pride ourselves on our community involvement and having fun outside of the office. Not only do we care for our patients, but we care for our co-workers and their families too.
Location: Atlanta, GA
Job Id:5715
# of Openings:1
Take charge of your future with โThe Future of Pain Reliefโ, Alliance Spine & Pain!
* PTO * MEDICAL * DENTAL * 401k *$25k LIFE INSURANCE*
We are a thriving Outpatient Pain Management Practice who seeks qualified & dynamic Healthcare Professionals!
8 Major Holidays off, no weekends, no overnights and you\โll never be On-Call!
If you are a Patient Navigator looking for a career you can grow in and work alongside some of the top providers in the area, then Alliance Spine and Pain Centers is the right place for you.
This is full-time position that offers a great benefits package!
Job Summary
Under the general supervision of the AR Team Lead, this individual is responsible for performing resolution oriented follow up activity for government and third party payors as well as special accounts receivable projects.
Essential Duties and Responsibilities
- Work individual portfolio of accounts through final resolution.
- Achieve productivity goals.
- Research all denials and follow-up as necessary and act as a first point of escalation for denied claims requiring payer related reconsideration or redetermination.
- Assess insurance reimbursement for portfolio of accounts to ensure maximum reimbursement.
- Communicate identified trends that impact cash collections negatively to Management.
- Complete payer clerical reopening.
- Initiate reconsideration appeals and ensure all required documentation is submitted in the appeals process.
- Research and follow up on all correspondence associated with assigned accounts, including EOBโs and documentation letters, and generate correspondence requesting required information, when necessary.
- Generate reports identifying trends or problem carriers, identify areas of concern and present ideas to correct or prevent future issues.
- Must maintain a high degree of confidentiality at all times due to access to sensitive information.
- Responsible for performing all duties in accordance with Company policies and procedures.
Education/Experience/Skills/Certifications
High school diploma or General Education Degree (GED). Minimum five (5) years of medical billing and collections experience necessary. Must be knowledgeable of reimbursement processes and procedures. Business knowledge and results oriented. Experience in medical billing and collections. Demonstrated ability to effectively investigate, analyze and problem solve. Knowledge of HMO, PPO, Managed Care, Indemnity and Government plans is required. Ability to interpret carrier policies and rules/regulations set by Medicare, Medicaid and Commercial Payors. Knowledge of CPT-4, ICD-10 and medical terminology required. Excellent communication, time management, and organizational skills. Possess ability to communicate appropriately and effectively. Ability to organize, prioritize and manage various work assignments in a fast paced environment. WORD and Excel experience preferred. Insurance and Medical Billing background required.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Possible exposure to infectious/contagious diseases, hazardous chemicals and materials, needle sticks, blood and body fluids.
Alliance Spine and Pain has high expectations of our employees to possess an outstanding work ethic with a problem-solving mindset. Our practice encourages all employees to have a healthy work-life balance and offers a competitive benefits package, including:
- Four choices of healthcare plans.
- Additional insurance coverage for Dental, Vision, Accident, Hospitalization, Cancer, and Long-Term Disability.
- Company-paid Life Insurance worth $25K.
- Company-paid Short Term Disability.
- Competitive PTO accrual.
- Alliance matches 100% up to 3% of 401k contributions and 50% of each additional dollar up to 5% of eligible pay.
- Employees are immediately 100% vested.
- Relaxed family atmosphere.
- Great opportunities for Advancement.
- 8 paid holidays.
Our Mission
Our mission is to be the premier provider of interventional pain management providing the highest quality of patient care.
Our Vision
Being recognized as the industry leader in pain management, providing life-changing pain relief to more people than ever.
Our Values
Career Opportunities Alliance Spine and Pain is always expanding and interested in adding new team members of expert providers, supportive managers, and knowledgeable staff. We are looking for people dedicated to our mission and vision and who possess our core values of compassion, respect, integrity, excellence, and service.
#J-18808-Ljbffr
Contact Detail:
Alliance Spine and Pain Centers Recruiting Team