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
...general supervision and assisting teammates while following established procedures. Line of Business Anti Money Laundering (AML) Know Your Customer/Client Due Diligence (KYC/CDD) is part of the Global Operations organization and is responsible for client AML/KYC...
...Overview: We are actively seeking two dedicated and compassionate Special Education Teachers to join our team in Elko, Nevada, serving students in grades 9-12. This position focuses on supporting students with diverse learning needs in high school, with caseloads ranging...
...The YWCA Greater Harrisburg is seeking a compassionate and organized professional to fill the role of a Transitional House Manager in our Perry County location . This position oversees the daily operations of its transitional housing facility. The ideal candidate will...
...General Contractor, Design-Builder, Construction Manager and even Developer. We are looking for a dynamic and customer-focused Live Chat Representative to join our Customer Support team. The ideal candidate will be responsible for providing real-time support to our...
...notes, seizure reports, medication administration records, etc.) is collected and recorded appropriately. Purchases items, manages the house hold budget and individuals spending money. Submits receipts per departmental guidelines. Conducts/Documents/Participates in...