Job Description
Center for Bone & Joint Surgery of the Palm Beaches is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise.
Center for Bone & Joint Surgery of the Palm Beaches offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy.
As Center for Bone & Joint Surgery of the palm Beaches continues to grow, we are looking for a Site Billing Specialist. Please see below for the functions and requirements for this position.
ESSENTIAL FUNCTIONS
- Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards.
- Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
- Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
- Updates and confirms as necessary to allow processing of claims to insurance plans.
- Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
- Attaches referrals/authorizations to appointments/charges if available.
- Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
- Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
- Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
- Identifies and communicates trends and/or potential issues to management team.
- Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.
- Other duties as assigned by leadership.
At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:
- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months of service with company match
- Employee Assistance Program that is available 24/7 to provide support
- Paid Time Off
- Paid Holidays
- Mileage reimbursement
- and more...
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