Job Description

Position Title: Billing Specialist

Now Hiring in the Following States Only:
Remote Work (Must reside in AZ, AR, FL, IA, IL, IN, MI, MO, NC, NV, OH, OR, PA, TN, or TX)

Position Overview:

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.

Essential Duties & Responsibilities:

Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes

Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts

Oversee claims appeals and reviews; review claims aging status and follow up on open claims

Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy

Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology

Participate in professional development efforts to stay current with health care best practices and trends

Actively participate in the company’s efforts to create innovative data and analytics solutions for the modern orthopedic business office

Other duties as assigned

Required Skills:

High school diploma or equivalent, college courses or certificate preferred

Excellent communication skills, especially phone skills, that encourage the establishment and maintenance of cooperative, positive relationships with both internal and external stakeholders (patients, physicians, colleagues, etc.)

 Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules

Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill

Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting

Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo

Ability to learn quickly and contribute ideas that make the team, processes, and solutions better

Share our values: resilience, altruism, communication, achievement, and determination

Preferred Skills:

Two years of billing experience in Orthopedics, hospital and/or surgical setting

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