Medical Billing Specialist
Excelsior Orthopaedics Group
*Hybrid Position*
Busy orthopedic practice offering challenging work; position responsible for adding charges into billing system, generating insurance claims and patient statements; posting payments, follow up on charges, and answering internal and external account inquiries.
Duties and Responsibilities:
• Research all information needed to complete billing process including obtaining patient insurance information and charge detail from providers. • Enters and itemizes charge information into billing system. • Assists with coding diagnosis or procedures on charge. • Ability to process and transmit billing to insurance company. • Post payments and applies credits to patient accounts. • Answer telephone and provides information as requested. • Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim. • Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required. • Participate in Accounts Receivable activities on past due accounts as directed by Billing Manager • Generate periodic reports and statistics regarding status of patient’s accounts and receivables. • Maintain patient confidentiality. • Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and CPT/ICD10 codes
Job Qualifications
+ Associates degree preferred; HS diploma or GED required
+ Proven experience (2+ years) as a medical billing specialist or in a similar role.
+ EMR experience required, MEDENT preferred
+ Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands:
+ Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
+ Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff
+ Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
+ Occasional standing and walking required
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