What are the responsibilities and job description for the AR ACCOUNT MANAGER position at Thrive Medical?
**REMOTE**AR ACCOUNT MANAGER
**NY-BASED MULTIDISCIPLINARY MEDICAL OFFICES
Seeking an experienced Medical AR Account Manager. The AR Account Manager will manage denials and appeals and will identify, research, and route claim denials according to our workflow and in accordance with the appeal processes of each specific insurance company. The Account Manager will perform an initial claim denial root cause analysis, which will entail communicating with insurance companies, our team in India, and our offices in NY and Florida in order to complete the necessary steps to resolve the problem. This position will require you to manage a team located in India, New York, and Florida.
We seek a candidate who can quickly learn our existing processes and protocols but also identify weaknesses and/or areas for improvement. The ideal candidate will be responsible for creating more efficient and effective AR denial/appeal systems while also keeping up with insurance trends in order to best avoid denials and shorten the revenue cycle.
KEY COMPONENTS OF THIS ROLE:
- Investigate reasons for every claim that is being denied
- Construct specific workflow processes so that denials are assigned, expedited, and resolved quickly and correctly
- Develop a catalog of denial reasons along with explicit instructions on how to resolve
- Generate denial/appeal letter templates for all denial reasons
- Work in conjunction with Billing Manager, Charge Entry, and Payment Entry
- Develop and manage team members in India and the US
- Develop a denial/appeal tracking system
- Build processes that will minimize future denials
- Responsible for creating reports for management summarizing findings and resolution
PERSONAL CHARACTERISTICS & OTHER ATTRIBUTES:
- Exceptional interpersonal and influencing skills
- Ability to work autonomously
- Success at cultivating strong relationships and creating partnerships
- Experience working with Executive and Billing mgmt
- Exemplary problem-solving and solution-development skills
- Capable of committing to project goals from start to finish in a timely fashion
- Stays current on healthcare trends, rules, and regulations
- Succinct and easy to understand, a good listener, and capable of writing clear and precise emails and processes
- Unquestionable personal integrity
- Team player and understands his/her role in relationship to others
- A highly committed individual with the necessary drive and stamina to successfully oversee and develop the denials management process
- Must be able to adhere to confidentiality standards and professional boundaries at all times
- Attention to detail
- Ability to manage time and prioritize accordingly
- Ability to remain calm and professional in stressful situations
- Quick-thinking and astute decision-making skills
Education Required:
- Bachelor’s degree (preferred but not required)
- High School Diploma/GED
Experience
- 2 Years Medical Coding Experience
- 2 Years Medical Insurance Billing Experience
- 1-2 years Customer Service Experience
- Experience in Physical Medicine, Physical Therapy, Chiropractic, Allergy Testing, and Acupuncture is a plus
- Knowledge base in ICD-10 and CPT4/HCPCS
- Knowledge of Medicare LCD's and applicable rules.
- Microsoft Office: 3 years (Preferred)
- G Suite (Google Workspace)
Location
- Remote or St Augustine, Florida
Benefits:
- 401(k)
- 401(k) matching
- Dental Insurance
- Health insurance
- Paid time off
- Vision insurance
Flexible work from home options available.
Account Manager - Entry Level
First Class Marketing -
Medford, NY
Account Sales Manager, Government
Grainger -
Bohemia, NY
Account and Sales Manager
LHH -
Bohemia, NY
