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Remote Orthopaedic Research Jobs (NOW HIRING)

... Research insurance company requests for refunds and either dispute or submit as appropriate ... Monday-Friday Orthopaedic Solutions Management is a Drug Free Workplace We are committed to ...

Research and resolve claims denials using the appropriate resources * Check that pre-bill claims ... Monday - Friday 7:30am - 5:00pm Orthopaedic Solutions Management is a Drug Free Workplace We are ...

US (Remote) Reporting To: Sr. Director, Commercialization Description Drive specific product ... clinical, research, marketing, technical support) to develop optimal solutions. * Provides ...

Internet researching skills * Proven excellent telephonic communication skills; excellent interpersonal communication skills * Proven excellent project management skills * Proven data analysis and ...

Remote Orthopaedic Research information

What is remote orthopaedic research?

Remote orthopaedic research involves conducting studies and investigations related to bones, joints, muscles, and the musculoskeletal system without being physically present in a laboratory or clinic. Researchers use digital tools, databases, telemedicine, and virtual collaboration to gather and analyze data, review medical literature, and communicate with colleagues. This approach allows for greater flexibility, the inclusion of diverse patient populations, and collaboration across different locations. Remote research can include activities such as data analysis, systematic reviews, and the development of digital health solutions for orthopaedic care.

How do remote orthopaedic research professionals typically collaborate with clinical teams and laboratory staff given the virtual nature of their work?

Remote orthopaedic research professionals frequently coordinate with clinical teams and laboratory staff through virtual meetings, shared data platforms, and collaborative project management tools. Regular communication is essential to ensure alignment on research goals, data collection methods, and timelines. While much of the data analysis and literature review can be performed independently, remote researchers often participate in multidisciplinary meetings to discuss findings, troubleshoot challenges, and contribute to study design. This collaborative approach helps maintain research quality and fosters professional relationships despite the physical distance.

What are the key skills and qualifications needed to thrive in Remote Orthopaedic Research, and why are they important?

To thrive in Remote Orthopaedic Research, you typically need a background in biomedical sciences or related fields, research experience, and knowledge of orthopaedic principles. Familiarity with data analysis software (such as SPSS or R), literature databases like PubMed, and possibly certifications in clinical research are valuable. Excellent written communication, self-motivation, and attention to detail are critical soft skills for collaborating remotely and producing high-quality research. These abilities ensure accurate data handling, effective teamwork, and the advancement of evidence-based orthopaedic practices.

What is the difference between Remote Orthopaedic Research vs Remote Physical Therapist?

AspectRemote Orthopaedic ResearchRemote Physical Therapist
CredentialsTypically requires advanced degrees in orthopaedics, research certificationsRequires a license in physical therapy, relevant certifications
Work EnvironmentPrimarily research settings, data analysis, clinical studiesPatient consultations, therapy planning, remote assessments
Industry UsageUsed in medical research institutions, universities, biotech companiesCommonly employed by healthcare providers, clinics, telehealth platforms

Remote Orthopaedic Research focuses on conducting studies, analyzing data, and advancing orthopaedic knowledge, often within research institutions. In contrast, remote physical therapists provide patient care, therapy plans, and assessments remotely. While both roles require healthcare knowledge, their daily tasks and work environments differ significantly.

More about Remote Orthopaedic Research jobs
What cities are hiring for Remote Orthopaedic Research jobs? Cities with the most Remote Orthopaedic Research job openings:
What are the most commonly searched types of Orthopaedic Research jobs? The most popular types of Orthopaedic Research jobs are:
What states have the most Remote Orthopaedic Research jobs? States with the most job openings for Remote Orthopaedic Research jobs include:
Refund Specialist- REMOTE - (Must Reside in FL)

Refund Specialist- REMOTE - (Must Reside in FL)

Florida Orthopaedic Institute

Remote

Other

Posted 12 days ago


Florida Orthopaedic Institute rating

8.7

Company rating: 8.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Refund Specialist- Remote - (Must Reside in FL)

The Refund Specialist is responsible for researching patient accounts across all refund types to determine whether payments have been correctly applied and if a refund is warranted. This role involves detailed review of insurance payments, explanation of benefits (EOBs), and account activity to ensure accurate resolution of credit balances while maintaining compliance with payer guidelines, regulatory requirements, and internal policies. The Refund Specialist works collaboratively across departments to identify trends, recover funds that may otherwise be refunded incorrectly, and support overall revenue integrity.

Key responsibilities include:

  • Review and analyze patient account activity to determine appropriate refund actions.
  • Review explanation of benefits (EOBs) related to refund requests, overpayments, recoupments, and forward balances.
  • Apply patient payment transfers, charge corrections, contractual adjustments, and refunds accurately.
  • Work all payments daily and ensure monies are applied correctly.
  • Resolve credit balances through refunds, adjustments, transfers, or other appropriate actions.
  • Contact insurance payers to obtain additional information regarding coordination of benefits, contractual adjustments, and patient responsibility.
  • Apply federal and state prompt payment regulations to validate or invalidate insurance refund requests when applicable.
  • Identify payment variances, underpayments, recovery opportunities and communicate findings to leadership.
  • Identify payer trends or workflow issues contributing to credit balances and notify management.
  • Ensure all validated government payer refund requests are processed within required payer guidelines.
  • Maintain daily, weekly, and monthly quantitative and qualitative production standards.
  • Coordinate work assignments with peers to ensure timely completion of departmental responsibilities.
  • Communicate effectively with Business Office staff, leadership, and affiliated departments to fulfill information requests.
  • Respond to emails from Business Office, leadership, and assigned cases within 48 hours.
  • Perform all duties in compliance with Medicare, federal, state, contractual agreements, and OSM internal policies.
  • Maintain strict confidentiality of PHI and always comply with HIPAA regulations.
  • All other duties as assigned.

Education and experience:

  • High School Diploma or equivalent required; college coursework or degree preferred.
  • Minimum of 3–5 years of experience in medical reimbursement, healthcare insurance collections, patient accounting, medical collections, or a similar role within a medical or physician practice.
  • Minimum of 3–5 years of experience resolving credit balances, performing account reconciliation, processing refunds, identifying variances, and analyzing payment trends.
  • Strong experience collecting payments from insurance carriers required.
  • Experience as a payment poster preferred but not required.

Preferred qualifications & skills:

  • Strong understanding of medical terminology, CPT/HCPCS procedure codes, ICD diagnosis codes, and insurance terminology.
  • Knowledge of payer reimbursement methodologies and contract language, including Medicare, Medicaid, Workers' Compensation, Managed Care, exclusions, case rates, percentages of charges, and fee schedules.
  • Experience in orthopedic healthcare reimbursement highly preferred.
  • Proficiency in interpreting explanation of benefits (EOBs) and tracing payer offsets, recoupments, and forward balances.
  • Proficiency with EMR/EHR systems and the Microsoft Office Suite; basic Microsoft Excel skills required.
  • Knowledge of basic accounting and mathematical principles, including the ability to calculate reimbursements and refund amounts.
  • Strong written and verbal communication skills with the ability to interact professionally across departments and with external payers.
  • Excellent attention to detail and a high level of accuracy.
  • Strong organizational and time-management skills with the ability to prioritize work, multitask, and adapt to change.
  • Ability to work independently while collaborating effectively with team members.
  • Exercises discretion, sound judgment, and professionalism in all business relationships.

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.


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