Job Description
As members of the DOC team, we are instrumental in bringing hospitality to healthcare. Come join DOC as an Orthopedic Billing Specialist for our service driven organization.
As a Billing Specialist, your lead outcomes will include:
- Ensure CPT and ICD10 coding are supported by clinical documentation
- Lead efforts in reviewing accounts with outstanding balances
- Manage work flow of the assigned accounts and prioritize the issues to meet deadlines for filing and reimbursement
- Meet monthly performance metrics
As a Billing Specialist, your core responsibilities will include:
- Review CPT, ICD-10 and modifier coding for accuracy
- Submit EDI claims and work clearinghouse rejection reports
- Document transactions to maintain adequate audit trail
- Review and resolve accounts with credit balances. Request refunds and/or adjustments as necessary
- Maintain work operations by following policies and procedures; reporting compliance issues
- Update job knowledge by participating in educational opportunities
As a Billing Specialist, DOC requires the following competencies:
- Behaviors and standards that model DOCs values and delivers a service experience that is unrivaled
- Coding Certification Required
- Minimum of 1 year Orthopedic billing experience
- Workers’ Compensation Knowledge/Experience
- Solid understanding of PM/EMR systems
- Extensive knowledge of health insurance billing and processes, provider plans and payer contracts
- Ability to work independently
- Proactive leadership
- Active listening skills
- Behavior that is enthusiastic
- Enjoy working as part of a team
- Flexibility/Adaptability