Orthopedic Revenue Management Professional

3 weeks ago


Tampa, Florida, United States Orthopaedic Solutions Management Full time
Job Description

We are seeking a talented individual to fill the position of Orthopedic Revenue Management Professional at Orthopaedic Solutions Management. In this role, you will play a critical part in our revenue cycle operations, ensuring timely collection of accounts receivable and maintaining excellent relationships with insurance companies and patients.

Responsibilities:

  1. Determine appropriate actions for denied charges to ensure claims are paid promptly.
  2. Analyze assigned queues, aging and denial reports to meet performance targets.
  3. Stay informed about payer guidelines and communicate changes to management.
  4. Submit accurate information to insurance companies for efficient payment processing.
  5. Process adjustments and refund requests according to contract terms, modifiers, or appeal denials.
  6. Respond to incoming calls from insurance companies and patients.
  7. Examine operative notes to comprehend procedures billed.
  8. Reallocation misapplied payments and adjustments.
  9. Undertake special projects as needed.
  10. Use coding resources (CPT, ICD-10, CDR, AAOS books) to grasp denied procedures.
  11. Accurately document accounts.
  12. Maintain adherence to company policies and procedures.
  13. Support other tasks as assigned.

About Our Ideal Candidate

  • Bachelor's degree in a relevant field preferred.
  • Minimum 2 years of experience in medical billing and insurance collection.
  • Superior communication and interpersonal skills.
  • Familiarity with Microsoft Office Suite and EMR software.

Our Offerings

  • A rewarding full-time opportunity with potential for professional development.
  • Annual salary range: $65,000 - $85,000, depending on qualifications.
  • Stable employment environment promoting a healthy work-life balance.


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