Medical Biller/Insurance Specialist

5 days ago


Phoenix, Arizona, United States The Center for Orthopedic and Research E Full time
{"h1": "Medical Biller/Insurance Specialist Job Description"} Job Summary We are seeking a highly skilled Medical Biller/Insurance Specialist to join our team at The Center for Orthopedic Research and Education. As a Medical Biller/Insurance Specialist, you will be responsible for reviewing insurance denials and rejections, verifying patient demographic information and insurance eligibility, and researching all information needed to complete the billing process. Key Responsibilities
  • Review insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
  • Verify patient demographic information and insurance eligibility, including coordination of benefits, and update and confirm as necessary to allow processing of claims to insurance plans.
  • Verify receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
  • Research all information needed to complete the billing process, including obtaining information from providers, ancillary services staff, and patients.
  • Obtain and attach referrals/authorizations to appointments/charges.
  • Maintain productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
  • Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
  • Analyze accounts for proper claims processing and payment posting through inquiries from patients or staff.
  • Identify and communicate trends and/or potential issues to the management team.
  • Follow and maintain all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.
About Us The Center for Orthopedic Research and Education is a leading provider of orthopedic care, and we are proud to be ranked by Ranking Arizona as the #1 Orthopedic Practice and #1 Healthiest Healthcare Employer. We offer a competitive benefits package, including a monthly stipend, HSA with company match, and 401k plan after 6 months of service. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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