Medical Billing Specialist - Insurance Collections HYBRID
About The Position
The Insurance Collections Focused Specialist job is to focus on working aging reports. This position will be HYBRID with 4 days remote and only 1 DAY in office after a successful completion of training for one week in office full-time. You must live in the state of TN to apply for this position. Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) + employer match.
Requirements
- High school diploma required
- Experience working in a physician office or hospital billing-type position preferred
- Proven record of discussing financial responsibilities and establishing payment plans when necessary
- Comfortable using email and interacting various applications
- Knowledge of Billing and Collections procedures
- Knowledge of CPT and ICD-1O CM coding
- Knowledge of MS Office Suite, especially Word, Excel and Outlook
- Excellent written and verbal communication abilities
- Goal-oriented and strong attention to details
- Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
- Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process
Nice To Haves
- College education or trade school preferred
- Orthopedic claims experience is preferred
Responsibilities
- Work Insurance Aging with a focus of 61 days and older aged accounts
- Working Work Comp
- Properly communicate and document denials in the practice management system
- Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates
- Submit appeals for denied claims
- Research and resolve outstanding claim issues
- Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor
- Review payer specific communication and update necessary team members and departments
- Identify trends in denials and communicate to your supervisor
- Respond to written and telephone billing inquires from patients
- Participate in weekly team meetings
- Other miscellanenous tasks delegated by management
Benefits
- Three Medical Plans Options (your choice of a PPO or HDHP)
- Dental and Vision Coverage
- Health Savings Account (with HDHP)
- Employee Assistance Program
- Company Provided Basic Life, AD&D and Long-Term Disability
- Voluntary Life and Short-Term Disability
- PTO Accrual
- Paid Holidays
- 401(k) + employer match
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
251-500 employees
