Job Summary:
The Follow Up Biller is responsible for researching all aspects of insurance collections including, but not limited to, pursuing claim payments from various insurance carriers and managing aging of accounts receivables, reviewing carrier reimbursement for proper payments, identifying contractual issues, and working with assigned carriers on aged receivables to resolve denials and expedite payments.
Essential Duties:
- Works with individual assigned insurance carriers and/or ancillary services.
- Follows up on rejections by verifying insurance status, eligibility, authorizations and account information.
- Responsible for learning payer policies for assigned carriers.
- Tracks payer trends and identifies areas of follow-up concern.
- Manages and corrects billing edits while identifying problems.
- Responds to interdepartmental requests to resolve billing issues.
- Updates patient demographics as necessary.
- Assists with charge entry and payment posting as required.
- Works incoming payer correspondence.
- Exemplifies the desired culture and philosophies of the organization.
Qualifications:
- High School diploma or GED
- 2+ years of medical billing experience required (billing third party carriers or business department of a health care organization).
- Must have knowledge of medical billing/collection practices, medical coding, insurance company operating, and reimbursement procedures.
- Computer skills including, but not limited to, MS Office.
Hours:
Monday - Friday: 8:00am - 4:30pm
Total Hours per Week:
40
Pay Range:
$18.00/hr - $23.00/hr
Our Commitment to Employees:
Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans.
Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences.
Remote Employment Policy:
If you are being hired into a remote-eligible position, please be aware that Rothman Orthopaedics is only registered to support remote employment in a limited number of states. If you relocate to a new state and Rothman Orthopaedics is not registered in that state, you may no longer be eligible for a remote position and continued employment with Rothman Orthopaedics. Please contact HR for any questions or a list of states where remote employment may be authorized.