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PI and WC Biller

3 months ago

Tinley Park, United States Primus Ortho Full time
Job DescriptionJob DescriptionSalary:


  • Prepare and submit claims, electronically or by paper, for Clinic, Surgical, Physical Therapy & Chiropractic departments to various insurance companies.
  • Post Payments for Clinic, Surgical, Physical Therapy & Chiropractic departments.
  • Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.
  • Verify benefits or obtain authorization, referrals, etc. as needed.
  • Medical coding: Creates accurate medical coding.
  • Billing forms: Submits billing forms to the Workers' Compensation
  • Review and follow-up: Reviews the processing and payments, and follows up on claims that are denied.
  • Appeal any and all denials for Clinic, Surgical, Physical Therapy & Chiropractic departments.
  • Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.
  • Explain benefits or answer any other insurance related questions from patients.
  • Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.
  • Resolve any patient complaints in a professional and courteous manner.
  • Prepare accounts for collection agency that have been deemed non-collectible.
  • Meticulous Accounts Receivable collection and follow-up with insurance and patients weekly
  • Presenting weekly reports showing progress.
  • Review Charts and Submit WMC Department Authorization Requests.
  • Follow up with WMC Coordinator, and or Front Desk to obtain proper insurance and/or billing information.
  • Answer e-mail and/or voicemails in a timely and professional manner.
  • Special projects as needed when determined by supervisors or management.
  • Be responsible for maintaining accurate records and providing detailed, professional notes in patient files.
  • Review Explanation of Benefits to determine next appropriate steps to seek authorization for patient treatment