Insurance Accounts Receivable Coordinator

About the role:

• The Insurance Accounts Receivable Coordinator manages the end-to-end insurance revenue cycle for all insurance in the plastic surgery suite. This role is responsible for ensuring compliance with the federal No Surprises Act (NSA), managing complex insurance appeals, overseeing precise payment posting, and driving accounts receivable reconciliation. The ideal candidate is an analytical, high-level communicator who can navigate intricate insurance landscapes while maintaining a patient-centered approach—even when handling difficult financial conversations, up to and including managing the collections process. This is an IN-OFFICE position.

What you'll do:

• Insurance Payment Verification & Account Resolution: Ensure 100% reconciliation of expected insurance carrier payments against claims submitted. Analyze electronic remittance advices (ERAs) and EOBs to determine accurate patient cost-shares, update patient ledgers in real-time, and initiate the billing process for patient balances (copays, coinsurance, and deductibles) to minimize days in accounts receivable (AR).
• Appeals & Resolution: Navigate complex insurance landscapes to execute robust, successful insurance appeals.
• Revenue Posting: Accurately post insurance payments and patient revenue; reconcile daily financial activities to ensure the ledger remains current.
• Accounts Receivable: Monitor and coordinate patient A/R, ensuring timely follow-up on outstanding balances and maintaining a healthy cash flow.
• Collections Oversight: Oversee the internal and external collections processes, balancing financial recovery with the practice’s commitment to a positive patient experience. Manage patient-facing collections with a professional, empathetic, yet firm approach.
• NSA Compliance: Lead the No Surprises Act (NSA) submission process, ensuring all Good Faith Estimates and required disclosures are delivered and documented according to federal guidelines.

• Refund Coordination: Manage the review and approval process for post-surgery refunds, ensuring all clinical and financial criteria are met before disbursement.
• Hospital Billing Liaison: Serve as the primary point of contact for patients regarding hospital-related billing inquiries.

Qualifications & Skills:

• Education: Associate’s Degree strongly preferred.
• Experience: 3–5 years of experience in medical billing or revenue cycle management.
• Technical Proficiency: Advanced knowledge of medical billing software and insurance portal navigation.
• Regulatory Knowledge: Deep understanding of the No Surprises Act (NSA), HIPAA compliance, and insurance appeal strategies.
• Analytical Mindset: Strong ability to reconcile complex financial statements and identify discrepancies in revenue posting.
• Communication: Exceptional verbal and written skills, with the ability to explain complex billing and insurance concepts to patients with empathy and clarity.

Why choose us?

• Be part of a renowned aesthetic surgery practice.
• Work alongside a team of dedicated professionals.
• Enjoy competitive compensation and benefits.
• Grow your career in a supportive environment.