Position Overview:
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Essential Duties & Responsibilities:
Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes
Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts
Oversee claims appeals and reviews; review claims aging status and follow up on open claims
Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
Understand, and stay up to date with, clinic and insurance industry contract policies/ procedures and medical terminology
Participate in professional development efforts to stay current with health care best practices and trends
Actively participate in the company’s efforts to create innovative data and analytics solutions for the modern orthopedic business office
Other duties as assigned
Required Skills:
High school diploma or equivalent, college courses or certificate preferred
Excellent communication skills, especially phone skills, that encourage the establishment and maintenance of cooperative, positive relationships with both internal and external stakeholders (patients, physicians, colleagues, etc.)
Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules
Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill
Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting
Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo
Ability to learn quickly and contribute ideas that make the team, processes, and solutions better
Share our values: resilience, altruism, communication, achievement, and determination
Preferred Skills:
Two years of billing experience in a hospital and/or surgical setting
...Bilingual Legal Assistant (Entry Level) Personal Injury Location: Cottonwood Heights, UT | Hybrid About the Firm Steele Adams Hosman is a clientfocused personal injury practice dedicated to obtaining justice for individuals who have been harmed by the negligence...
Machinist Job Responsibilities IncludeOperate traditional manual milling machine, lathe, saws, and using hand toolsOperate CNC Lathes and MillsConstantly inspect work-in-progressMulti-task through various jobs and prioritiesInterpret engineering drawingsMachinist...
...Job Summary The Carpenter constructs and repairs structural woodworks and equipment, working from blueprints, drawings, or oral instructions... ...-routine hours, when necessary Ability and willingness to travel as required Physical Requirements Ability to work...
...delivering the right product to the right customer, on time, every time. We are currently seeking a dedicated and experienced Overhead Crane Operator to join our team. This role is integral to our operations, involving the operation of an overhead crane to unload incoming...
...Alternative Investment Services. Think you have what it takes? How Youll Contribute: Were looking for a Business Development Coach who can help our professionals unlock their full potential in building and growing client relationships. In this role, youll coach,...