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Orthopedic Institute Patient Account Specialist
1 month ago
This role is responsible for ensuring timely and accurate processing of patient accounts with third-party payers. The ideal candidate will possess excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.
Key Responsibilities- Responsible for resubmitting primary, secondary, and tertiary claims in accordance with regulatory requirements and payer policies.
- Communicate with third-party representatives to complete claims processing and resolve problem claims.
- Follow up daily on post-processing activity, including rejected billings, adjustments, and rebilling, for accounts greater than 30 days old.
- Maintain accurate and up-to-date accounts receivable detail using online system documentation.
- Meet or exceed collection goals by payer each month.
- Work all assigned accounts at least once every 15 or 30 days, depending on balance.
- Participate in educational activities and attend monthly department staff meetings.
- Maintain confidentiality and adhere to all HIPAA guidelines and regulations.
- High School diploma or General Education Degree.
- Three to Five years' experience in medical office billing preferred.
- Knowledge of ICD-10/HCPCS/CPT coding.
- Basic knowledge of third-party insurance plans.
- Familiarity with medical terminology helpful.
- Effective communication skills when interacting with insurance carriers, third-party payers, and patients.
- Ability to learn and understand patient accounting policies and procedures and the Accounts Receivable computer system.
- Intermediate knowledge of Microsoft Word and Excel, and the ability to learn innovative programs and systems.
- Dependable in both production and attendance.
