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Billing and Reimbursement Coordinator

2 months ago

Omaha, Nebraska, United States OrthoNebraska Full time
Job Overview

OrthoNebraska is seeking a dedicated Billing and Reimbursement Coordinator to enhance our Clinic operations. The ideal candidate will possess a strong customer service orientation, exceptional communication skills, and a thorough understanding of hospital billing and compliance standards.

Position Type: Full-Time

Work Schedule: Monday - Friday, 8:00 AM - 4:30 PM


Role Responsibilities:

  • Manage accounts receivable and insurance collections with precision.
  • Review and address payer denials promptly by utilizing designated work queues.
  • Prepare and submit appeals to managed care and third-party payers to recover denied claims, tracking the outcomes diligently.
  • Utilize the Expected Reimbursement Report to ensure payment accuracy from payers.
  • Monitor payments from government, commercial, and Workers' Compensation sources for correctness.
  • Assess information for processing in accordance with established office protocols.
  • Analyze overpayments from payers or patients and initiate refund requests as necessary.
  • Conduct regular data accuracy checks to maintain completeness and correctness.
  • Deliver efficient customer service while managing time effectively.
  • Collect, document, and audit data to ensure timely processing of claims, maximizing reimbursement and enhancing customer satisfaction.
  • Contribute to team objectives by prioritizing tasks and motivating peers to boost productivity.
  • Stay informed about government compliance regulations and third-party billing requirements.
  • Maintain comprehensive knowledge of business office policies, team goals, and departmental strategies.
  • Demonstrate proficiency in billing functions within the information system to reduce outstanding receivables.
  • Evaluate contractual postings to ensure correct billing to secondary payers.
  • Keep current with private, state, and federal contractual agreements for accurate payment posting.
  • Engage with third-party payers to resolve discrepancies through correspondence.
  • Identify and report any billing system errors encountered.
  • Exhibit strong communication and problem-solving skills to assist customers effectively.
  • Contact third parties and patients regarding unpaid balances to mitigate receivables.
  • Uphold confidentiality to protect patient rights and privacy.
  • Adhere to safety policies and regulatory requirements.
  • Perform additional duties as assigned based on demonstrated competency.

Required Skills:

  • Excellent communication skills, both verbal and written.
  • Strong customer service abilities, including patience and empathy.
  • Effective problem-solving and critical thinking capabilities.
  • Comprehensive knowledge of industry best practices.

Qualifications:

Education:

  • High school diploma or equivalent is required.
  • Experience in general office tasks and professional reimbursement is essential.

Experience:

  • 2 to 3 years of professional reimbursement experience is highly preferred.
  • Familiarity with personal computer operations at a user level is necessary.
  • Knowledge of medical terminology is advantageous.
  • Ability to maintain composure and clear communication under pressure.
  • Flexibility to adapt to changing priorities and multiple deadlines.
  • Team-oriented approach to problem-solving and decision-making.
  • Effective communication skills to address issues at both personal and unit levels.

Physical Requirements:

  • This role is classified as Sedentary Work, requiring minimal physical exertion.