Orthopedic Accounts Receivable / Collections Specialist

Job description

The Billing / Collections Representative provides telephone customer service in a high-volume environment by responding to patient billing questions as well as working payor denials and collections on patient accounts.

· Interpretation of Explanation of Benefits (EOB); responding to billing questions or requests for information; collecting patient balances; working denials from insurance companies and managing the Physician’s Accounts Receivables by handling patient and insurance account follow-up.

· Providing related telephone customer service to patients and insurance carriers with a high volume of incoming and outgoing telephone calls.

· Responding to questions about an insurance company Explanation Of Benefits (EOB); responding to billing questions or requests for information; and handling patient and insurance account follow-up. Experience with the grievance process if payment is denied or is less than the amount billed.

Education: High school diploma or equivalent. Some college preferred.

Experience: Minimum one year of medical billing / collections experience. Orthopaedic experience preferred.

Performance Requirements:

Knowledge:

· Knowledge of medical billing/collection practices.

· Knowledge of medical practices, terminology and organization services.

· Knowledge of traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp.

· Working knowledge of anatomy and physiology, and medical terminology.

· Knowledge of ICD10-CM and CPT-4 manuals to research/verify diagnosis codes (ICD-10) and/or procedure codes (CPT-4).

· Knowledge of computerized billing, EMR/EPM system. Google workspace and Athena experience a plus!

Skills:

· Excellent written, verbal communication and customer relations a must.

Abilities:

· Ability to enter accurate data and examine insurance documents; understand and explain EOB’s.

· Ability to deal courteously and professionally with patients, staff, and others.

· Ability to communicate effectively and clearly.

Job Type: Full-time

Schedule:

· 8 hour shift:

· Monday to Friday

Work Location: On site: Palm Beach Gardens location

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person