Medical Billing

6 days ago

Wayne, United States Centers for Neurosurgery Spine & Orthopedics Full time
Job DescriptionJob Description

Medical Biller/Collector

Job Description

CNSO is a vibrant, well-established, neurosurgery, spine surgery, orthopedic surgery, pain management and physical therapy practice, with multiple office locations throughout Northern New Jersey. Due to continued expansion, CNSO has an exciting opportunity to join its revenue cycle department in its Wayne location. Critical to the proficiency of a medical collector is a proper understanding of the claims adjudication process, legislation that governs medical claims, individual insurance policies, CMS guidelines, NCCI edits, and the ability to effectively and professionally communicate with insurance carriers and fellow staff members both verbally and in writing. This Medical Collector position will be responsible for the follow-up and payment of surgical claims. CNSO provides a two-month orientation and training process. The right candidate can work both independently and in a team setting. The revenue cycle department is very organized and has routine and regular educational weekly meetings.

Duties & Responsibilities:

  • Timely management of assigned medical claims, aging reports, and correspondence.
  • Consistently communicate with insurance companies to address denials, corrected claims, and receipt of appeals.
  • Proactively ensure timely and accurate processing of claims.
  • Utilizes Navinet, Optum, and Availity to understand the status of claims.
  • Adheres to policies and procedures.
  • Accurately identifies the reason for payor denials.
  • Detailed appeal writing that targets the reason for the denial.
  • Identifies the cause of clearinghouse rejections.
  • Ensure the primary payor’s claim is always sent to the secondary payor and verify that both parties pay the contracted rate.
  • Answers and resolves all incoming calls, faxes, and emails promptly.
  • Achieves goals established by the Revenue Cycle Manager.
  • Duties as assigned.

· Experience/Training/Education:

  • High School Diploma or GED

· **Must have 3+ years of Medical Billing and Collections experience**

  • Experience in collecting for Neurosurgery, Spine Surgery, Pain Management, Physical Therapy, General Orthopedics, or office visits preferred.
  • Coding Experience REQUIRED.
  • CPC Certification is a Plus in Pay Rate.
  • Posting Experience.

Knowledge/Skills/Abilities:

  • Ability to research payor websites and apply insurance guidelines
  • Medicare Medical Billing
  • Outlook, Word, Excel
  • EMRs such as EclinicalWorks

Benefits:

  • Healthcare Plan for employee plus one covered 100%
  • Dental and Vision Plan
  • PTO plan
  • 8 paid holidays
  • 401K & Pension

·Work Location:

  • One location-Wayne. NJ
  • Work Remotely, No
  • Job Type: Full-time

Salary starting at $27.00 per hour plus quarterly bonus.

Company DescriptionWe are a Multi-specialty Neurosurgery & Spine office. The mission of CNSO is to provide uncompromising outstanding surgical, pain management and physical therapy care, where patients and employees alike are treated with the dignity, respect, and uniqueness that every human being deserves. Our highly trained, board-certified surgeons, pain management physicians, physicians' assistants, nurse practitioners, and our exceptionally qualified office staff achieve this by creating a patient-centric environment where privacy is respected, quality of care is excellent, safety is paramount, and compassion is second nature.Company DescriptionWe are a Multi-specialty Neurosurgery & Spine office. The mission of CNSO is to provide uncompromising outstanding surgical, pain management and physical therapy care, where patients and employees alike are treated with the dignity, respect, and uniqueness that every human being deserves. Our highly trained, board-certified surgeons, pain management physicians, physicians' assistants, nurse practitioners, and our exceptionally qualified office staff achieve this by creating a patient-centric environment where privacy is respected, quality of care is excellent, safety is paramount, and compassion is second nature.

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