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. Rooted in the 100-plus-year legacy of its founding partners, the network spans the Northeast with 128 physicians, over 1100 employees, and 28 locations from Connecticut, New York, and Massachusetts.

Join the patient-centric team atMiddlesex Orthopedic & Spine Associatesand see how the revenue cycle team plays an integral role in providing world-class care and customer service. Thrive as a valued member of this growing team, where we are committed to excellence across all aspects of our organization.

See our website to learn about our history of providing exceptional care in central Connecticut. https://www.middlesexortho.com

What you’ll do:

Channel your expertise as an Accounts Receivable Specialist and allow your keen attention to detail shine as you take on this important role. In this role, you will resolve insurance denials and aged receivables primarily related to credentialing issues. In addition to working in the Revenue Cycle Department, you will also partner with our Contracting & Credentialing Team and our Software Support Team.

Responsibilities/Duties:

• 
  Research/rectify third party denials/edits, requests for information and other related correspondence
• Identify and analyze open claims
• Identify and correct billing errors
• Re-submit claims to insurance carriers
• The Accounts Receivable Representative must have a thorough knowledge of government, WC, Auto accident, commercial, HMO, PPO and other types of insurance billing guidelines, demonstrate effective judgment when processing all claims
• Monitor past due accounts for payment
• Contribute to a cohesive departmental unit

This position plays a key role in the efficient and effective financial operations of the practice. Join a dedicated team focused on empowering orthopedic and spine specialists to transform patient lives and to be the best orthopedic and spine network in our community.

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.
• Hybrid remote schedules 3 days in office, 2 days remote

Who you are:

Qualifications:

• 3 Years’ experience working in healthcare accounts receivable department resolving rejections and denials. Required.
• Multiple systems: PM Mod-med, Trisetto, Remedics. Experience preferred, not required.
• Self-starter, team player, analytic & problem-solving ability
• Ability to utilize the technology available including the use and navigation of Microsoft Word, Excel, and Outlook, as well as Internet functions
• Good communication skills are required.
• Orthopedic Experience preferred, not required.
• Mod-Med Experience preferred, not required.
• High degree of initiative, professionalism, and independent judgment

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”).

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