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
...This position is posted by Jobgether on behalf of a partner company. We are currently looking for an AI Technical Content Writer in the United States . In this role, you will craft deeply technical, high-impact content that bridges advanced AI concepts with real-...
Dishwasher Job Description:We are looking for a dedicated, organized dishwasher who enjoys working as part of a team in a fast paced... ...Taking out the trash and rinsing garbage cans.~Supporting other restaurant staff members by assisting with other tasks, as needed.~...
...operation of assigned administrative operations. This position manages administrative support staff, coordinating and prioritizing responsibilities... ...*The value you'll bring to the team:**Manages and coordinates office workflow and administrative support staff, monitors performance...
...you ready to make a difference in a community that truly values quality hearing care? This well-established and highly respected audiology practice in Columbus, Nebraska, is looking for a full-time Audiologist or Hearing Instrument Specialist to join its welcoming, patient...
...global leader in providing elite security, crisis management, and investigative solutions to a wide range of industries. We specialize in... ...-effective services, and we are currently seeking experienced Private Investigators to join our dynamic team in Ontario. As a private...