Workers Compensation Billing Specialist
2 months ago
Hybrid Positions
Experience with Workers' Compensation Billing is needed
Growing orthopaedic practice offering challenging work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.
Duties and Responsibilities:
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Research all information needed to complete billing process including obtaining charge information form providers
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Enters and itemizes charge information into billing system and produces account
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Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge
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Ability to process and distribute billing
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Post payments and applies credits to patient accounts
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Answer telephone and provides information as requested
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Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim
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Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required
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Participate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing Manager
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Generate periodic reports and statistics regarding status of patients accounts and receivables.
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Maintain patient confidentiality
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Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes
Job Qualifications
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Associates degree preferred; HS diploma or GED equivalent required
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2+ years medical billing experience required
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EMR experience required; MEDENT experience preferred
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Position requires manual and finger dexterity and hand-eye coordination
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Involves standing, sitting, and walking
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Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required
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2-3 years of experience in Workers’ Compensation Billing and AR collections; preferably in physician office setting.
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Medical Appeals and Denials: 2-3 years. (Required)
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Orthopedic medicine billing knowledge and experience (Preferred)
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Working knowledge of new York Workers Compensation Medical Treatment Guidelines
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Knowledge and experience with OnBoard, Carisk. (Preferred)
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