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