Accounts Receivable Specialist

About us:

New York Plastic Surgical Group (NYPS Group) is the largest and longest-running private and academic plastic surgery practice in the United States. With more than 20 board-certified plastic surgeons practicing across 10+ affiliated offices, ambulatory surgery centers, and over 20 hospitals, NYPS Group provides expert, comprehensive, and compassionate care.

Founded in 1948, NYPS Group, a division of Long Island Plastic Surgical Group, is one of the nation’s most well-established plastic surgery practices, offering patients the collective expertise of specialty-trained surgeons dedicated to achieving exceptional outcomes.

Required Experience:

• Minimum of 3 years’ experience in medical insurance collections.
• Proven experience handling a wide range of insurance denials.
• Experience with Independent Dispute Resolution (IDR) billing is a plus.
• Reviewing Explanation of Benefits (EOBs) to ensure accurate contracted and non-contracted payments.
• Processing daily correspondence to ensure timely and appropriate claim resolution.
• Preparing and submitting written appeals with supporting documentation.
• Requesting and obtaining medical records to support appeals.
• Managing accounts with receivable aging reports to resolve outstanding balances.
• Meeting regularly with physicians to review A/R status and address problem accounts.
• Preparing refund request letters and write-off requests with supporting documentation.
• Communicating directly with insurance carriers regarding claims adjudication.
• Performing additional duties as assigned, including managing special aging accounts.