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Medical Biller / Insurance Follow Up

Medical Biller / Insurance Follow Up

The Center for Orthopedic and Research EPhoenix, AZ, US
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Job Description

Job Description

Benefits :

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24 / 7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications :

  • Minimum two to three years of experience in medical billing.
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
  • HSD / GED
  • Preferred :

  • Knowledge of computer systems. Experience with GE patient management system p
  • Knowledge of the physician billing processes, ICD-10, and CPT coding.
  • Essential Functions

  • Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials / rejections.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
  • Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
  • Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
  • Obtains and attaches referrals / authorizations to appointments / charges.
  • Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
  • Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
  • Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
  • Identifies and communicates trends and / or potential issues to the management team.
  • Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.
  • About us :

    The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona : The Best of Arizona Businesses!

  • #1 for Orthopedic Practices
  • #1 for Healthiest Healthcare Employers
  • #3 for Best Healthcare Workplace Culture
  • Winner in Best Places to Work
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    Medical • Phoenix, AZ, US

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