HealthDrive delivers on-site dentistry, optometry, podiatry and audiology to residents in long-term care, skilled nursing and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. This is a full time benefits eligible position here in our Wellesley office. We offer a business casual environment conveniently located on Route 9 East.
Do you have experience in appealing and resolving unpaid medical claims from Medicare, MA Medicaid and plans including: AARP, Aetna, Cigna, BC/BS, Evercare, Fallon, Harvard Pilgrim, Tufts, United Healthcare and numerous other managed care plans?
Are you able to quickly identify denial or nonpayment trends and conduct the required research to resolve the issues in a timely manner? Do you have extensive knowledge of insurance carrier guidelines related to physician claims?
Can you review and take the actions required to obtain payment or resolve the outstanding balance on a minimum of 60 charges a day?
Responsibilities include, but are not limited to:
•Prior experience in collecting accounts receivable from Medicare, Medicaid, Managed Care plans or commercial insurance carriers in a healthcare related environment
•Prefer experience in large volume multispecialty physician practice or hospital setting for Audiology, Dental, Optometry or Podiatry services
•Excellent attention to detail, with strong analytical skills, and possess excellent communication skills both verbal and written
Highly organized and have the ability to work in a fast-paced environment, with the ability to work effectively and efficiently with both custom and “off the shelf” computer applications
•Self-motivated with the ability to work well independently and as part of a team environment with minimal direct supervision
•Strong Microsoft Office application skills in Excel, Outlook and Word
•Proven track record in successfully managing assigned healthcare accounts receivable portfolio and achieving monthly cash, DSO and bad debt objective
•Associate’s degree and/or equivalent work experience and minimum of 5 years' experience in 3rd party medical billing and collection.