Compensation & Benefits
- $19.00/hour PLUS monthly commission (M-F, 9-5) Commission paid at $350 per client per month if goals (monetary and production) are reached. Typical rep has 1-3 clients.
- Health, dental, and vision insurances, largely subsidized by SPS
- 401k retirement plan
- Generous Paid Time Off policy
- 100% Remote (Laptop and remote IT support provided)
Organization OverviewStrategic Practice Solutions, LLC. is a leading Medical Billing and consulting company headquartered in New Jersey. With a foundation established in 2010, SPS has expanded to operate across multiple states. We specialize in providing expert services to Orthopedics, Spine Surgery, Neurosurgery, Plastics, and related areas of study. We are dedicated to optimizing revenue cycle management and offering superior administrative support to our clients.
Position SummaryWe are seeking a proactive and detail-oriented PIP Medical Accounts Receivable (AR) Representative to join our team. The ideal candidate will have a thorough understanding of Personal Injury Protection (PIP) billing processes and accounts receivable management. The PIP Medical AR Representative will be responsible for ensuring timely collection of payments, managing outstanding accounts, and collaborating with insurance companies and attorneys to resolve any billing issues.
Essential FunctionsPrimary responsibilities include:
- Manage and oversee the collection of payments for PIP medical claims.
- Track and follow up on outstanding accounts, ensuring timely resolution of unpaid or denied claims.
- Handle inbound and outbound calls to insurance companies and attorneys to follow up on unpaid claims and address balance inquiries.
- Respond to client and attorney inquiries regarding billing and accounts receivable.
- Collect and prepare necessary documents for arbitration.
- Communicate with insurance companies, healthcare providers, and patients to address billing discrepancies and secure necessary documentation.
- Review and analyze accounts receivable reports, identifying trends and areas for improvement.
- Use Practice Management and Electronic Health Record (EHR) systems effectively.
- Navigate Explanation of Benefits (EOBs) and other insurance correspondence.
- Maintain accurate and organized records of billing activities, ensuring compliance with PIP regulations and guidelines.
- Collaborate with the billing team to streamline processes and enhance efficiency.
- Provide exceptional customer service to patients, addressing billing inquiries and resolving concerns.
- Stay up to date with industry trends, updates, and changes in PIP billing regulations and practices.
- Ensure patient privacy.
- Perform other duties as assigned.
Education, Experience, & Qualifications
- Preferably based out of NJ.
- High school diploma or equivalent.
- Minimum of 2 years of experience in medical accounts receivable, with a focus on PIP billing.
- Strong understanding of PIP regulations, billing procedures, and insurance guidelines.
- Previous experience with NJ post-service PIP appeals and arbitration since the 2017 regulation changes required.
- Proficiency in medical billing software and electronic health record (EHR) systems.
- Excellent communication and interpersonal skills.
- Strong attention to detail and organizational skills.
- Ability to work independently and as part of a team in a fast-paced environment.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer.
Equal Opportunity EmploymentStrategic Practice Solutions, LLC. is an equal opportunity employer. Qualified applicants receive equal consideration for positions without regard to race, creed, color, national origin, nationality, ancestry, age, sex (including pregnancy and harassment), marital status, domestic partnership or civil union status, sexual orientation, gender identity or expression, atypical hereditary or blood trait, genetic information, veteran or military status, mental or physical disability, or any other consideration made unlawful by applicable federal, state, or local laws.
Visit us at: www.spsrcm.com
Job Type: Full-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Do you have at least 2 years of experience dealing with Motor Vehicle Accident insurance for a medical provider in New Jersey? Answer Yes or No
Experience:
- PIP, No Fault, Motor Vehicle Accident: 2 years (Required)
Work Location: Remote
