Medical Payments Adjuster Jobs (NOW HIRING)

Description

Orthopaedic Associates offers the expertise and experience of Board-certified specialists. With care and compassion, our surgeons take the time to get to know our patients, to carefully diagnose the source of the problem and to develop a treatment and recovery plan specific to your needs. Our surgeons are trained in minimally invasive techniques, including joint replacements and arthroscopic procedures on the shoulder, elbow, hip and knee, foot and ankle, wound care, and small-incision approaches for fracture care. Minimally invasive techniques help speed recovery and generally result in minimized pain.

POSITION:

Medical Billing (Payment Poster/Charge Poster and insurance recovery exp. Req.)

DEPARTMENT:

Front Office / Billing

WEBSITE:

https://www.thebonesurgeons.com/

LOCATION:

820 South Akers St. Suite 220 Visalia, CA 93277

HIRING MANAGER:

Javier Villicana, Practice Administrator

PHONE:

(559) 733-3346

BASE PAY:

$17.50-$23.00

STATUS:

Non-Exempt

ACCEPTING

APPLICATIONS:

Until Filled

AVAILABLE:

Immediately

We are a diverse, inclusive and equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, age (40+), disability status, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, protected military or veteran status, or any other characteristic protected by law.

JOB SUMMARY

A payment poster oversees the intake of payments, often in a medical billing office. In payment poster jobs, your responsibilities include accepting payments, processing billing statements, and conducting audits for each billing cycle.

ESSENTIAL JOB RESPONSIBILITIES

Seeking an experienced Medical Billing Payment Poster/Charge Poster with insurance recovery exp. for a busy orthopedic group. Must have 2 years of full-time experience as a Medical Billing Payment Poster/Charge Poster with Insurance recovery exp. Must be knowledgeable in medical codes to determine how much is owed and whether any outside insurance covers part or all of their balance.

• Post payments to applicable system and maintains Explanation of Review records as necessary
• Obtain Explanation of Review documentation and proof of payment records as necessary
• Maintain a record of PPO discount names and rates
• Sort correspondences and other letters and routes to the most appropriate recipients as applicable
• Communicate effectively with claims administrators and adjusters to submit necessary documentation for payment of claims
• Maintain positive working relationships with claims administrators, adjusters, clients and other key stakeholders
• Review payment records and performs audits to determine payment processing accuracy and gaps
• Responsible for documenting all correspondences and phone conversations regarding medical claims and payments
• Works various assigned tasks in billing systems
• Comply with applicable HIPAA policies and procedures
• Assist with assigned projects that pertain to billing under the direction of the Billing and Collections Manager
• Other duties as assigned.

SKILLS & ABILITIES

• Very strong verbal and written communication skills
• DME experience a plus
• Must have excellent grammar and spelling
• Willingness to learn and show initiative at all times

• A calm manner and patience working with insurers, peers, and others.
• Competent use of computer systems

• Strong patient service and interpersonal skills as we are high on customer service
• Excellent organizational and time management skills
• Excellent work ethics and ability to treat documents with confidentiality

• Ability to work well in a team environment while being able to prioritize, accept feedback, and manage conflict in a reasonable fashion
• Ability to multi-task efficiently in a fast-paced environment

• Have experience with medical terminologies, diagnostic procedures
• Strong communication and customer service skills
• Ability to learn quickly and work under pressure in a fast-paced environment

EDUCATION

• High school graduate or equivalent

EXPERIENCE

• Minimum two years full-time clinical experience in a healthcare facility in medical billing and payment posting/charge posting insurance recovery exp. Bilingual a plus and orthopedic experience a big plus (but not required)