Workers Compensation Billing Specialist
Hybrid PositionsExperience with Workers' Compensation Billing is neededGrowing orthopaedic practice offering challenging work;
position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.
Duties and Responsibilities : Research all information needed to complete billing process including obtaining charge information form providersEnters and itemizes charge information into billing system and produces accountAssist with coding and error resolution, codes information about procedures performed and diagnosis on chargeAbility to process and distribute billingPost payments and applies credits to patient accountsAnswer telephone and provides information as requestedContact insurance company as necessary to verify medical insurance coverage and patient responsibility on claimPost denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as requiredParticipate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing ManagerGenerate periodic reports and statistics regarding status of patients accounts and receivables.
Maintain patient confidentialityApply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codesJob QualificationsAssociates degree preferred;
HS diploma or GED equivalent required2+ years medical billing experience requiredEMR experience required; MEDENT experience preferredPosition requires manual and finger dexterity and hand-eye coordinationInvolves standing, sitting, and walkingTeam member will occasionally be asked to lift and carry items weighing up to 30 pounds.
Normal visual acuity and hearing are required2-3 years of experience in Workers’ Compensation Billing and AR collections;
preferably in physician office setting.Medical Appeals and Denials : 2-3 years. (Required)Orthopedic medicine billing knowledge and experience (Preferred)Working knowledge of new York Workers Compensation Medical Treatment GuidelinesKnowledge and experience with OnBoard, Carisk. (Preferred)
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