Stamford, Connecticut, United States · On-site
$26/hr–$33/hr
Job DetailsLevel: ExperiencedJob Location: MSO Corporate 1000 - Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $26.40 - $33.00 HourlyTravel Percentage: NoneJob Shift: Da…
Skills: Accounts receivable, Denials management, Surgical coding, Payer reimbursement, Medical necessity
Stamford, Connecticut, United States · On-site
$56/hr–$84/hr
Job DetailsLevel: ExperiencedJob Location: Stamford, CT 06902Position Type: Full TimeEducation Level: BachelorsSalary Range: $56.60 - $84.95 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Health CareWho we are:…
Skills: Operating room nursing, Patient flow management, Sterile field maintenance, Asepsis standards, Scrub nursing
New York, United States · On-site
$31/hr–$39/hr
Job DetailsLevel: ExperiencedJob Location: NYPosition Type: Part TimeEducation Level: BachelorsSalary Range: $31.95 - $39.95 HourlyTravel Percentage: Some travel between company locationsJob Shift: VariedJob Category: He…
Skills: Athletic training, First aid, Injury prevention, Physical therapy coordination, Patient care
Stamford, Connecticut, United States · On-site
$56/hr–$84/hr
Job DetailsLevel: ExperiencedJob Location: ASC Stamford 3000 - Stamford, CT 06902Position Type: Full TimeEducation Level: BachelorsSalary Range: $56.60 - $84.95 HourlyTravel Percentage: NoneJob Shift: DayJob Category: He…
Skills: Operating room nursing, Patient flow management, Sterile fields maintenance, Asepsis standards, Scrub nursing
Stamford, Connecticut, United States · On-site
$85k–$128k/yr
Job DetailsLevel: ExperiencedJob Location: MSO Corporate 1000 - Stamford, CT 06905Position Type: Full TimeEducation Level: Not SpecifiedSalary Range: $85,000.00 - $127,600.00 SalaryTravel Percentage: Some travel between …
Skills: Marketing communications, Project management, Digital marketing, Content strategy, SEO
Stamford, Connecticut, United States · On-site
$26/hr–$33/hr
Job DetailsLevel: ExperiencedJob Location: Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $26.40 - $33.00 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Financ…
Skills: Accounts receivable, Denials management, Surgical coding, Payer reimbursement, Appeals strategy
Stamford, Connecticut, United States · On-site
$85k–$128k/yr
Job DetailsLevel: ExperiencedJob Location: Stamford, CT 06905Position Type: Full TimeEducation Level: Not SpecifiedSalary Range: $85,000.00 - $127,600.00 SalaryTravel Percentage: Some travel between company locationsJob …
Skills: Marketing communications, Project management, Digital marketing, Content strategy, SEO
New York, United States · On-site
$31/hr–$39/hr
Job DetailsLevel: ExperiencedJob Location: Iona University - NYPosition Type: Part TimeEducation Level: BachelorsSalary Range: $31.95 - $39.95 HourlyTravel Percentage: Some travel between company locationsJob Shift: Vari…
Skills: Athletic training, First aid, Injury prevention, Physical therapy support, Soft tissue techniques
Stamford, Connecticut, United States · On-site
$24/hr–$30/hr
Job DetailsLevel: ExperiencedJob Location: MSO Corporate 1000 - Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $24.00 - $30.00 HourlyTravel Percentage: NoneJob Shift: Da…
Skills: Patient financial services, Medical billing, Insurance verification, Benefit interpretation, Revenue cycle management
Old Saybrook, Connecticut, United States · On-site
$400k–$500k/yr
Job DetailsLevel: ExperiencedJob Location: MOSA 2115 Old Saybrook - Old Saybrook, CT 06475Position Type: Full TimeEducation Level: Medical DoctorSalary Range: $400,000.00 - $500,000.00 SalaryTravel Percentage: Some trave…
Skills: Orthopedic surgery, Podiatric surgery, Foot and ankle surgery, Musculoskeletal care, Clinical support
Stamford, Connecticut, United States · On-site
$24/hr–$30/hr
Job DetailsLevel: ExperiencedJob Location: Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $24.00 - $30.00 HourlyTravel Percentage: NoneJob Shift: DayJob Category: Custom…
Skills: Patient financial services, Medical billing, Revenue cycle operations, Insurance verification, Benefit interpretation
Village of Great Neck, New York, United States · On-site
$77k–$116k/yr
Job DetailsLevel: ExperiencedJob Location: Great Neck, NY 11021Position Type: Full TimeEducation Level: BachelorsSalary Range: $77,300.00 - $116,000.00 SalaryTravel Percentage: Road WarriorJob Shift: VariedJob Category: …
Skills: Physician Relations, Healthcare Marketing, Business Development, Community Outreach, Relationship Management
Warwick, Rhode Island, United States · On-site
$70k–$104k/yr
Job DetailsLevel: ExperiencedJob Location: Warwick, RI 02886Position Type: Full TimeEducation Level: BachelorsSalary Range: $69,600.00 - $104,400.00 SalaryTravel Percentage: Road WarriorJob Shift: VariedJob Category: Hea…
Skills: Physician relations, Healthcare marketing, Business development, Community outreach, Relationship management
Middletown, Connecticut, United States · On-site
$73k–$110k/yr
Job DetailsLevel: ExperiencedJob Location: MSO MOSA 512 1400 - Middletown, CT 06457Position Type: Full TimeEducation Level: BachelorsSalary Range: $73,400.00 - $110,200.00 SalaryTravel Percentage: Road WarriorJob Shift: …
Skills: Physician Relations, Healthcare Marketing, Business Development, Community Outreach, Relationship Management
Village of Great Neck, New York, United States · On-site
$77k–$116k/yr
Job DetailsLevel: ExperiencedJob Location: MSO OAMNY Great Neck 1500 - Great Neck, NY 11021Position Type: Full TimeEducation Level: BachelorsSalary Range: $77,300.00 - $116,000.00 SalaryTravel Percentage: Road WarriorJob…
Skills: Physician Relations, Healthcare Marketing, Business Development, Community Outreach, Relationship Building
Warwick, Rhode Island, United States · On-site
$70k–$104k/yr
Job DetailsLevel: ExperiencedJob Location: MSO Ortho Rhode Island PSO - Warwick, RI 02886Position Type: Full TimeEducation Level: BachelorsSalary Range: $69,600.00 - $104,400.00 SalaryTravel Percentage: Road WarriorJob S…
Skills: Physician relations, Healthcare marketing, Business development, Community engagement, Relationship management
Middletown, Connecticut, United States · On-site
$73k–$110k/yr
Job DetailsLevel: ExperiencedJob Location: Middletown, CT 06457Position Type: Full TimeEducation Level: BachelorsSalary Range: $73,400.00 - $110,200.00 SalaryTravel Percentage: Road WarriorJob Shift: VariedJob Category: …
Skills: Physician relations, Healthcare marketing, Business development, Community outreach, Relationship management
Harrison, New York, United States · On-site
$17/hr–$20/hr
Job DetailsLevel: EntryJob Location: ONS Harrison 2200 - Harrison, NY 10528Position Type: Per DiemEducation Level: High School or EquivalentSalary Range: $17.10 - $20.50 HourlyTravel Percentage: NoneJob Shift: VariedJob …
Skills: Physical therapy assistance, Patient care, Equipment maintenance, HIPAA compliance, OSHA regulations
Providence, Rhode Island, United States · On-site
Job DetailsLevel: EntryJob Location: Ortho Rhode Island Providence - Providence, RI 02908Position Type: Per DiemEducation Level: High School or EquivalentTravel Percentage: NoneJob Shift: DayJob Category: Health CareLoca…
Skills: Patient care, Medical terminology, Microsoft Office, Scheduling, HIPAA compliance
Harrison, New York, United States · On-site
$17/hr–$20/hr
Job DetailsLevel: EntryJob Location: Harrison, NY 10528Position Type: Per DiemEducation Level: High School or EquivalentSalary Range: $17.10 - $20.50 HourlyTravel Percentage: NoneJob Shift: VariedJob Category: Health Car…
Skills: Physical therapy assistance, Patient care, Equipment maintenance, HIPAA compliance, OSHA regulations
Stamford, Connecticut, United States • On-site
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The representative manages complex accounts receivable and payer denials for orthopedic and spine surgical services. They are responsible for drafting evidence-based appeals, identifying payment variances, and collaborating with clinical teams to resolve reimbursement issues.
Candidates must have 3–5 years of experience in AR follow-up and denial management within a surgical specialty environment. Proficiency in orthopedic and spine surgery reimbursement, along with strong knowledge of medical coding and payer guidelines, is required.
Job DetailsLevel: ExperiencedJob Location: MSO Corporate 1000 - Stamford, CT 06905Position Type: Full TimeEducation Level: High School or EquivalentSalary Range: $26.40 - $33.00 HourlyTravel Percentage: NoneJob Shift: DayJob Category: FinanceWho 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. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
The Surgical AR & Denials Management Representative is responsible for the resolution of complex accounts receivable and payer denials related to orthopedic and spine surgical services. This role requires advanced knowledge of surgical coding, payer reimbursement methodologies, bundling rules, medical necessity criteria, and appeals strategy.
The representative will manage high-dollar, complex surgical claims, aggressively pursue payer follow-up, draft detailed appeals, and partner with coding and clinical teams to prevent recurring denials. Preference will be given to candidates with experience in spine surgery reimbursement, including instrumented procedures and multi-level cases.
This is a performance-driven, detail-oriented role requiring strong analytical skills and the ability to independently resolve complex reimbursement issues.
Manage aging accounts receivable specific to orthopedic and spine surgical claims.
Perform detailed review of high-dollar surgical accounts.
Identify underpayments, bundling errors, and contractual discrepancies.
Escalate claims through payer reconsideration and appeals processes.
Maintain timely follow-up in accordance with payer filing limits.
Medical necessity
Bundling and NCCI edits
Modifier denials
Global period denials
Downcoding
Prior authorization issues
Draft comprehensive, evidence-based appeals including supporting documentation.
Track denial trends and escalate systemic issues to management.
Participate in payer peer-to-peer or escalation discussions as needed.
Understand reimbursement for complex orthopedic and spine procedures including:
Multi-level spinal fusions
Instrumentation and hardware
Decompression procedures
Revision surgeries
ASC vs hospital reimbursement differences
Review operative reports to validate coding and appeal strategy.
Collaborate with coding team on documentation improvement opportunities.
Review payer contracts to validate expected reimbursement.
Identify payment variances and contractual underpayments.
Assist in recovery of underpaid claims.
Monitor timely filing and appeal deadlines.
Maintain detailed account notes reflecting follow-up actions.
Ensure appeals and follow-up actions meet compliance standards.
Adhere to HIPAA and payer guidelines.
3–5+ years of AR follow-up and denial management experience in physician practice or surgical specialty environment.
Demonstrated experience with orthopedic surgical claims required.
Spine surgery reimbursement experience strongly preferred.
Strong knowledge of CPT, ICD-10, HCPCS, NCCI edits, and modifier usage.
Experience with commercial, Medicare, and Workers’ Compensation payers.
Ability to analyze EOBs and payer remittance advice in detail.
CPC certification is preferred but not required.
Advanced surgical reimbursement knowledge
Strong written appeal drafting skills
Analytical and problem-solving ability
Persistence and follow-through
Detail orientation
Ability to manage high-volume, high-dollar accounts
Independent decision-making capability
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
Benefits package: health, dental, vision, 401(k), etc.
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”).
The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
We are proud to announce that Orthopedic Associates of Middletown and Middlesex Orthopedic Surgeons have joined forces.
We are proud to announce that Orthopedic Associates of Middletown and Middlesex Orthopedic Surgeons have joined forces to better serve patients in central Connecticut. This new partnership provides our patients with greater orthopedic expertise in more convenient locations. You will continue to receive the same best in class care from your trusted physicians plus better access to imaging, physical therapy and more. Thank you for choosing Middlesex Orthopedic & Spine Associates.
Offices: 512 Saybrook Rd, Suite 100, Middletown, Connecticut 06457, US · 5 Pequot Park Rd, #202, Westbrook, Connecticut 06498, US · 14 Jones Hollow Rd, #5, Marlborough, Connecticut 06447, US · 430 Saybrook Rd, Middletown, Connecticut 06457, US · 4 Grove Beach Rd N, North Building, 2 Suite E and F, Westbrook, Connecticut 06498, US
We are proud to announce that Orthopedic Associates of Middletown and Middlesex Orthopedic Surgeons have joined forces.
We are proud to announce that Orthopedic Associates of Middletown and Middlesex Orthopedic Surgeons have joined forces to better serve patients in central Connecticut. This new partnership provides our patients with greater orthopedic expertise in more convenient locations. You will continue to receive the same best in class care from your trusted physicians plus better access to imaging, physical therapy and more. Thank you for choosing Middlesex Orthopedic & Spine Associates.
Offices: 512 Saybrook Rd, Suite 100, Middletown, Connecticut 06457, US · 5 Pequot Park Rd, #202, Westbrook, Connecticut 06498, US · 14 Jones Hollow Rd, #5, Marlborough, Connecticut 06447, US · 430 Saybrook Rd, Middletown, Connecticut 06457, US · 4 Grove Beach Rd N, North Building, 2 Suite E and F, Westbrook, Connecticut 06498, US
