Who we are:
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you’ll do:
Serves as a subject matter expert and provides day-to-day guidance and support to Financial Counselors, ensuring adherence to organizational workflows, productivity expectations, and quality standards. Assists with onboarding and training of new team members, reinforces best practices related to insurance verification and patient collections, and helps resolve complex patient or workflow issues. Acts as a liaison between leadership and staff by escalating trends, identifying process improvement opportunities, and supporting the implementation of revenue cycle initiatives. Promotes a collaborative, patient-focused environment while maintaining accountability for team performance and service excellence.
Responsibilities/Duties:
- Confirms patient’s benefits to determine any patient responsibility prior to procedure, i.e., deductibles, co-insurance and copays. Both Professional and facility
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Outbound calls to patients to educate on financial responsibilities.
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Verifies insurance eligibility prior to services being rendered.
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Attempts to collect and post patient’s responsibility prior to procedure.
- Maintains documentation of all patient interactions in compliance with organizational standards.
- Maintains collection logs by practice for reconciliation purposes
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Collaborates with Practices and RC Leadership
- Collaborates with Surgical Coordinators to support prior authorizations, review for add-on procedure
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Collaborates with Surgical Coordinators to address any barriers to collecting patient financial responsibility.
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Addressing all Revenue Cycle Correspondences, including but not limited to, email, faxes, written, and internal Practice Management communications
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Other duties as assigned.
Who you are:
Qualifications:
- High School Diploma or equivalent
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Previous experience in healthcare financial services and/or revenue cycle preferred.
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Strong knowledge of insurance identification and processes, billing procedures, and healthcare regulations.
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Strong communication skills, bilingual is a plus
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Strong problem-solving skills.
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Proficiency with electronic health record systems and Microsoft Office Suite.
What we offer:
- Excellent growth and advancement opportunities
- Dynamic environment
- Access to a diverse network of practitioners
- Broad infrastructure of tools and programs to enhance the employee experience
- Competitive Compensation
- Generous PTO
- Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).