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
...AGENCY CANDIDATES WILL BE CONSIDERED FOR THIS POSITION**********Applicants must be eligible to work in the United States without visa sponsorship now or in the future*******TPC- Building Projects** , A Tutor Perini Company, is the company selected to execute construction...
...Restaurant Manager - Wendy's Want to make a difference? Want to be a leader? We offer more opportunities... ...skills Ability to work in a fast-paced environment Strong problem-solving... ...individual looking for a rewarding career in the food & beverage industry, apply now to join...
...Landscape Designer Gardens of Babylon - Nashville, TN $35,000 - $50,000 a year Gardens of Babylon, Nashville's largest family owned garden center and landscape design build firm specializing in natural products and services is looking for the following dynamic...
...Flourish Research is looking for motivated, talented, creative individuals who want to... ...opportunities. We are actively hiring Research Assistants at our Panorama City site location.... ...while providing an impeccable patient experience in every single interaction. Shift:...
...similar, related, or a logical assignment for this classification. Other duties may be required and assigned. Crime Scene Investigator I Keeps the mission, vision, and values of the City of Port St. Lucie at the forefront of decision making and action; builds strategic...