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HOPCo

Insurance Follow Up/ Medical Biller

Phoenix, AZ · On-site

Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards. * Assumes full responsibility for reducing the accounts receivable of insurance balances by ...

HOPCo

Insurance Follow Up Representative

Phoenix, AZ · On-site

$16.75 - $20.25/hr

Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards. * Assumes full responsibility for reducing the accounts receivable of insurance balances by ...

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Billing/Collections Specialist

Wellington, FL

The Center for Orthopedic and Research E
See more jobs at The Center for Orthopedic and Research Eexternal

$17 - $23.50/hr

Full-time

Medical, Retirement, PTO

Re-posted 11 days ago

Job description

Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise.

Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.

As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Billing/Collections Specialist. Please see below for the functions and requirements for this position.

ESSENTIAL FUNCTIONS

  • Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards.
  • Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
  • Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
  • Updates and confirms as necessary to allow processing of claims to insurance plans.
  • Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
  • Attaches referrals/authorizations to appointments/charges if available.
  • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
  • Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
  • Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
  • Identifies and communicates trends and/or potential issues to management team.
  • Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.
  • Other duties as assigned by leadership.
  • Reviews insurance denials and rejections to determine next appropriate action steps and obtain 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 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 of reducing the accounts receivable of insurance balances by working through outstanding
    accounts.
    • Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
    • Identifies and communicates trends and/or potential issues to management team.
    • Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.

At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan with company match
  • Employee Assistance Program that is available 24/7 to provide support
  • Paid Time Off
  • Paid Holidays
  • Mileage reimbursement
  • and more...

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