Medical Biller/Coding Specialist Orthopedic

Orthopedic Surgery and Sports, PLLC

1d•Onsite

About The Position

The Medical Collections Specialist is an on-site position and will follow up on unpaid claims utilizing monthly aging reports, file appeals, reconsiderations and work with patients regarding insurance explanations of benefits and insurance verifications. Manages and collects outstanding accounts receivables, with insurance companies and patients. Assists in resolving customer billing problems assisting in the reduction of accounts receivables. Responsible for processing accounts and incoming payments in compliance with financial policies and procedures. Oversees all collections. Performs other related duties as assigned.

Requirements

High school diploma or equivalent.
2+ years Prior Medical Patient and Insurance Collections experience required
2+ years Medical Billing experience preferred
Knowledge of medical terminology
Understanding of Medical Claims Processing preferred
Excellent knowledge of billing procedures
Knowledge of collection law and regulations
Excellent communication and interpersonal skills
Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing

Nice To Haves

Associate’s/Bachelor’s degree is preferred

Responsibilities

ability to read an Explanation of Benefits form
monitor Aging report to identify outstanding accounts receivables
assist customers with disputes and inquiries and reconciling payment history
perform creative skip tracing techniques to locate patients
answering phones
ensure all accounts have proper and accurate documentation
involved in processing corrected claims
utilize judgement to analyze patient ability to pay and establish payment plan
take actions in order to encourage timely payments and/or turnover to collection agency
investigates historical data
process payments and refunds
resolves billing issues
resolves patient credit issues