Accounts Receivable Specialist (74352)

Join Our Team at North Pointe Surgery Center (NPSC)

North Pointe Surgery Center (NPSC), part of Orthopedic Associates of Lancaster (OAL), is dedicated to providing exceptional surgical care in a specialized outpatient setting. With surgery centers located in Lancaster and Lebanon, Pennsylvania, our team works alongside experienced orthopedic surgeons and clinical professionals to help patients get back to the activities and lives they enjoy.

At NPSC, our focus is on delivering high-quality, efficient, patient-centered care in an environment designed specifically for outpatient surgery. Our centers perform a wide range of orthopedic procedures, including total joint replacements, using advanced surgical techniques and technology.

Our commitment to quality and patient safety is reflected in NPSC’s Joint Commission certification for outpatient total joint replacement and our longstanding record of successfully meeting the rigorous standards of both The Joint Commission and the Pennsylvania Department of Health. This history of successful surveys reflects the commitment of our entire team to maintaining a safe, compliant, and high-quality environment for our patients and one another.

As part of OAL, NPSC combines the close-knit, collaborative environment of a specialized surgery center with the resources and stability of one of Central Pennsylvania’s leading orthopedic organizations. OAL is physician-owned and supported by more than 400 employees across its orthopedic practices and surgery centers.

When you join NPSC, you become part of a team where every role contributes to the patient experience. Whether you work in clinical care, materials management, business operations, or another support function, you’ll work alongside professionals who value teamwork, quality, safety, and exceptional service.

Summary/Objective:

The Accounts Receivable (AR) Specialist position bills insurance companies for all surgery center and surgery center-based physician bills. In addition, the AR Specialist pursues collection of all claims until payment is made by insurance companies and performs other work associated with the billing process.

Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Provide excellent customer service and billing expertise to our patients and staff.

• Working with insurance carriers to identify and correct billing issues and ensure timely reimbursement.

• Daily posting and reconciliation of insurance and patient payments.

• Patient account maintenance.

• Patient account collections.

• Support of front-end revenue cycle processes.

• Maintains confidentiality of all information

• Completes work within authorized time to assure compliance with departmental standards.

• Demonstrates knowledge of, and supports, all standards, policies and procedures, and operating instructions.

• Maintains third-party billing logs.

• Works denials provided by Cash Poster utilizing clearing house appeal software.

• Completes Bad Debt Reporting Request and submits to Leadership.

• Completes Refund Requests and submits to Leadership for approval.

• Contacts patients regarding self-pay balances, explaining payment options and the use of Care Credit.

• Sends partial payment letters as appropriate.

• Provides coding for all self-pay packages requested by OAL.

• Monitors assigned workflow daily in the clearing house.

• Monthly generation of patient responsibility statements.

• Completes Workers Compensation Fee Reviews within day 46 to day 60 of claim days on AR.

• Completes AR follow-up on assigned third party payers to ensure payment of claims within 90 days of procedure.

• Prepares report on assigned AR for review with leadership each month.

• Performs other duties as required.