No-Fault Account Specialist

No-Fault Account Specialist

Full-Time | Remote
Base Salary: $24.76–$27.83/hour (commensurate with experience)

The No-Fault (NF) Account Specialist is responsible for account management of applicable no-fault cases. The No-Fault Account Specialist will verify, and secure authorizations as required by insurance carriers while making notification to adjusters to verify cases. In addition, No-Fault Account Specialist will be responsible for Account Receivable (AR) follow-up with the payers to bring accounts to claim resolution. 

What You'll Do

• Obtain required patient authorizations through payer portals and by phone.
• Respond to clinic inquiries via phone, email, and internal tasking systems.
• Communicate authorization approvals, denials, and status updates to providers.
• Partner with clinic staff to resolve authorization-related issues.
• Follow up with insurance carriers on authorizations and claim payments, escalating issues as needed.
• Manage daily work queues to meet established productivity standards.
• Identify denial, underpayment, and overpayment trends and escalate as appropriate.
• Follow up on and resolve unpaid or outstanding accounts with payers.
• Maintain knowledge of HIPAA, OSHA, Risk Management, and compliance requirements.
• Attend required staff meetings and training.

What You'll Bring

• 2+ years of experience in medical billing, accounts receivable, and denial management.
• Knowledge of clinic operations, including patient registration, referrals, authorizations, and cash collections.
• Understanding of insurance reimbursement, authorization and collection practices, and practice management systems.
• Strong attention to detail and ability to manage multiple priorities while maintaining accuracy.
• Strong interpersonal, written, and verbal communication skills.
• Ability to maintain confidentiality and handle sensitive patient information appropriately.
• Demonstrated leadership skills and ability to work collaboratively with clinic teams.

Benefits

Rest, Reset & Recharge: 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.

Plan Ahead: Company-matched 401(k) available once eligibility requirements are met.

Care for Your Crew: MetLife Pet Insurance with flexible plans and 24/7 telehealth support.

Play More, Pay Less: Exclusive discounts through PlumBenefits and LifeMart.

Equal Opportunity Employer, including Disabled/Veterans.