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Medical Billing Specialist

2 months ago

Daytona Beach, United States THE ORTHOPEDIC CLINIC Full time
Job DescriptionJob DescriptionDescription:

The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team of ten Surgeons, ten Mid-Level Providers and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties are dedicated to providing compassionate and cutting-edge orthopedic care. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community.


POSITION EXPECTATIONS:


As an A/R Billing Specialist you will monitor, manage and fully work outstanding assigned insurance claims, to include researching and correcting claims, writing appeals, and facilitating submission to our EHR (Athena) for appealing adverse decisions, contacting payers as needed and all other activities that lead to the successful adjudication of eligible claims. Other responsibilities of this position include:


• Responsible for taking action on each non-payment or zero pay claim, including contacting insurance companies as needed to diagnose, correct, and rebill claims

• Responsible for providing any information (medical records, itemized statements, etc.) required by insurance companies to overturn denied claims. Must maintain a system to ensure timely follow-up is completed for each outstanding account.

• Responsible for identifying and documenting insurance payer issues as they arise, communicating issues to impacted team members, providers and/or Manager

• Responsible for identifying and issuing patient and insurance refunds

• Respond to patients requesting assistance with questions relating to account or balance

• Assist Patient Services staff with patient’s requesting advanced assistance with their account

• Covers for other billing office employees, as needed

• Adheres to organizational policies and procedures and maintains compliance with governmental regulations

• Maintaining the privacy and security of protected health information and adhering to all HIPAA guidelines/regulations.

• Provides superior customer service in a professional, compassionate and friendly manner


Requirements:

REQUIRED QUALIFICATIONS:

• Minimum of High School Diploma

• Previous medical accounts receivable experience

• Previous customer service experience, preferably in medical/healthcare setting

• Proficiency in the use of Microsoft Office Products, EHR software applications, preferably Athena


Full compensation package to include: competitive salary, medical, dental, vision, STD, LTD. Life insurance, 401k, profit sharing, paid time off, continuing education reimbursement


The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.


The Orthopedic Clinic is a drug free workplace and all offers of employment at The Orthopedic Clinic are contingent upon clear results of a thorough background check.