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Patient Account Specialist

Elite Sports Medicine + Orthopedics is searching for a detail-oriented, experienced Patient Account Specialist in the Nashville area!

Elite Sports Medicine + Orthopedics provides the highest level of subspecialized orthopedic care and customer service. Our physicians and team are committed to excellent and integrated care, and our facilities and programming are dynamic and innovative. The Patient Account Specialist is responsible for posting charges, posting payments and EOB’s, performs in-house collection duties for overdue account balances and work aging reports, and maintains insurance correspondence.

Responsibilities include, but are not limited to, the following:

  • Enters charges for worker’s compensation and FMLA fees
  • Posts insurance and patient payments into the practice management system
  • Continually monitor insurance aging reports to ensure unpaid claims are addressed in a timely manner
  • Processes requests for refunds, and submits for approval
  • Contact insurance companies for outstanding balances and communicate as necessary for resolving outstanding/unpaid claims
  • Responds to written and telephone billing inquiries from patients
  • Resubmits insurance claims as needed and submits appeals/ reconsideration documentation
  • Helps answer the billing line phone and assist patients regarding their account information
  • Other miscellaneous tasks delegated by Billing Manager
  • Promote the company website and patient link resources by communicating to patients that they can pay their bill online

Qualifications and Experience:

  • High school diploma required
  • College education or trade school preferred
  • Two years of recent and continual experience in high-volume insurance claims processing
  • Knowledge of Billing and Collections procedures
  • Orthopedic claims experience a plus
  • Knowledge of MS Office Suite, especially Word and Excel
  • Excellent written and verbal communication abilities
  • Strong attention to detail
  • Goal-oriented
  • Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement
  • Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process

Key Success Factors
Live our Core Values
We Treat Everyone Like a VIP
We Take Ownership
We Are a Great Team
We Are Passionate About What We Do

Benefits include Health, Dental and Vision insurance and 401k participation and match. We have high standards for Professionalism and Patient Care. We are looking for an individual with outstanding attention to detail and organizational skills to support our business of providing world-class orthopedic care. If you are committed to putting your energy and time into supporting one of the finest sports medicine and orthopedic centers in the country, submit your resume today!

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