A/R Representative II - School Insurance Collector

Orlin & Cohen Orthopedic Group - Northwell Health is the premier and fastest-growing orthopedic practice on Long Island, providing comprehensive care that helps thousands of our neighbors and community members live more active lives, free from pain. Orlin & Cohen is one of the largest orthopedics practices in the region, with over 20 offices located in Nassau and Suffolk Counties, Queens, and Staten Island, we have been in business for 30 years.

Job Description

Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log.

Job Responsibility

• Interviews patients to obtain necessary financial and insurance information.
• Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation.
• Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator.
• Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process.
• Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
• Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
• Follows up on scheduled payments via mail and telephone.
• Processes applications for Section 1011, where applicable.
• Maintains daily work log of payments collected.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

General Summary: Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.

Responsibilities:

• Reviewing past due accounts and related documentation.
• Contacting patients, guarantors, and or third-party payers to secure payments and provide resolution of assigned accounts.
• Appealing incorrect denials and incorrect payments.
• Responding to carrier verification requests in a timely manner.
• Tracking and reporting all account information.
• Adheres to all HIPAA guidelines and regulation.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).