Medical Billing Rep

OrthoAlaska•Anchorage, AK

28d•Onsite

About The Position

Medical Billing Representative, OPA - Full-time - Anchorage, Alaska Schedule: Monday - Friday, 8:00 AM - 4:30 PM You will receive a $500 SIGNING BONUS after 90 days of full-time employment Orthopedic Physicians Alaska seeks a highly skilled, dedicated, and professional Medical Billing Representative to join our rapidly growing and dynamic team. At OPA, employees enjoy work-life balance, competitive salaries, and comprehensive medical, dental, FSA or HSA, life, and disability insurance, as well as profit sharing, 401(k), and paid time off starting at three weeks per year. Learn more about Orthopedic Physicians Alaska at www.OPAlaska.com. Ideal attributes Works as a team player and is committed to compassionate patient care Strong communication and interpersonal skills and an investigative nature Self-starter who embraces professionalism and learning Efficient, accurate, and detail oriented Representative duties Provide outstanding customer service to all patients Answer insurance and billing questions for patients and the staff Advise and explain insurance coverage, co-pays, and deductibles to patients Work with patients and insurance companies to resolve balances Review and appeal insurance denials (occasionally by request from outsourced RCM company) Review and submit corrected claims (occasionally by request from outsourced RCM company) Be able to identify and process insurance company overpayments, knowledge of cob is a must Knowledge and skill requirements Knowledge of CPT and ICD-10 coding (certification preferred) Knowledge and understanding of billing procedures Knowledge and understanding of HIPAA rules and regulations Able to understand and explain EOBs Knowledge of primary and secondary coordination of benefits Able to work in an integrated team that includes posting, collections, and pre-certification Knowledge of general billing processes and procedures required to resolve medical claims for payment Ability to work off site and be productive Ability to communicate verbally and in writing courteous and professionally Required qualifications High school diploma or equivalent Two (2) years medical billing experience CPC or CPB certification from an accredited coding institution Preferred (in addition to required) qualifications Basic collection experience Experience with E & M coding and charge review Two (2) years medical billing experience in an orthopedic clinic Candidates meeting the above skills and qualifications and desiring to be part of a patient-centered, professional environment are invited to apply. The mission of OrthoAlaska, Orthopedic Physicians Alaska division is to provide the finest orthopedic surgery and musculoskeletal care in North America through quality, patient-centered care. Each of our physicians and surgeons works in concert with a certified orthopedic surgical physician assistant and other staff to provide patients an individualized care-team experience. Currently, we have offices in Anchorage, Wasilla, and Eagle River. Employees enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk-in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy. OPA values quality, patient-centered care, personal fulfillment through continuous improvement, team development, and community service. We welcome applicants who embrace our same core values and possess a daily renewed attitude of excellence. OPA benefits include health and dental insurance, life and disability insurance, 401(k) and profit sharing, as well as paid time off.

Requirements

High school diploma or equivalent
Two (2) years medical billing experience
CPC or CPB certification from an accredited coding institution
Knowledge of CPT and ICD-10 coding (certification preferred)
Knowledge and understanding of billing procedures
Knowledge and understanding of HIPAA rules and regulations
Able to understand and explain EOBs
Knowledge of primary and secondary coordination of benefits
Able to work in an integrated team that includes posting, collections, and pre-certification
Knowledge of general billing processes and procedures required to resolve medical claims for payment
Ability to work off site and be productive
Ability to communicate verbally and in writing courteous and professionally

Nice To Haves

Basic collection experience
Experience with E & M coding and charge review
Two (2) years medical billing experience in an orthopedic clinic

Responsibilities

Provide outstanding customer service to all patients
Answer insurance and billing questions for patients and the staff
Advise and explain insurance coverage, co-pays, and deductibles to patients
Work with patients and insurance companies to resolve balances
Review and appeal insurance denials (occasionally by request from outsourced RCM company)
Review and submit corrected claims (occasionally by request from outsourced RCM company)
Be able to identify and process insurance company overpayments, knowledge of cob is a must