Billing and Recovery Specialist (Full-Time)

OrthoNebraska•Omaha, NE

51d•Onsite

About The Position

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: The Billing Specialist, is responsible for billing professional and institutional claims to the insurance company, resolving billing discrepancies, and working edits with in an EMR system.

Requirements

High School Diploma or General Educational Development (GED) required
2+ years of general office experience and billing experience required
Strong communication, including writing, speaking and active listening
Great customer service skills, including interpersonal conversation, patience, and empathy
Good problem-solving and critical thinking skills
In-depth knowledge of industry best practices
Must be able to multi-task with multiple interruptions in a fast-paced environment
Must be able to pass background check
Must successfully complete a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements

Responsibilities

Preparing and submitting patient insurance claims
Tracking claim statuses
Resolving billing discrepancies by following up on claim edits and claim rules within the system
Evaluating information for processing according to office guidelines and procedures
Collaborating with third party institutions and other team members to resolve billing inconsistencies and errors
Entering assigned data into the information system in accordance with policy and procedure
Conducting routine accuracy checks of selected data to ensure completeness and accuracy of data
Utilizing time effectively to provide efficient customer service
Collecting, recording, and auditing data to ensure timely and accurate processing of paperwork to maximize reimbursement and achieve improved customer satisfaction
Actively participating in achieving team goals, setting priorities, seizing opportunities before being asked, and motivating oneself and others in order to maximize productivity
Maintaining a high level of knowledge regarding government compliance regulations as well as third-party billing requirements and regulations
Maintaining up-to-date knowledge of all business office policies and procedures, team goals, department objectives and hospital strategic plans to maximize the decision-making process
Demonstrating working knowledge of billing functions on the information system to continue to reduce receivables
Evaluating contractual postings to ensure proper billing to secondary payers
Maintaining current knowledge of private, state, and federal contractual agreements, to ensure proper posting of payments and adjustments
Reviewing and initiating correspondence with third party payers to resolve discrepancies
Identifying, documenting, and reporting billing system errors
Demonstrating communication and problem-solving skills by clearly presenting information and options to customers while removing barriers that fail to enhance customer service
Contacting third party and/or patients on unpaid account balances to reduce receivables
Resolving patient questions/complaints through written, verbal communication or through financial counseling
Maintaining confidentiality to protect patient rights and privacy
Complying with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission
Performing other duties as assigned for which competency has been demonstrated