Billing Specialist

Healthcare Outcomes Performance Co. (HOPCo)•Wellington, FL

About The Position

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy. As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Billing Specialist. Please see below for the functions and requirements for this position.

Responsibilities

Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards.
Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
Updates and confirms as necessary to allow processing of claims to insurance plans.
Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
Attaches referrals/authorizations to appointments/charges if available.
Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
Identifies and communicates trends and/or potential issues to management team.
Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.
Other duties as assigned by leadership.