Medical Billing Specialist

*Hybrid Position*

Busy orthopedic practice offering challenging work; position responsible for adding charges into billing system, generating insurance claims and patient statements; posting payments, follow up on charges, and answering internal and external account inquiries.

Duties and Responsibilities:

• Research all information needed to complete billing process including obtaining patient insurance information and charge detail from providers.
• Enters and itemizes charge information into billing system.
• Assists with coding diagnosis or procedures on charge.
• Ability to process and transmit billing to insurance company.
• Post payments and applies credits to patient accounts.
• Answer telephone and provides information as requested.
• Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim.
• Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required.
• Participate in Accounts Receivable activities on past due accounts as directed by Billing Manager
• Generate periodic reports and statistics regarding status of patient’s accounts and receivables.
• Maintain patient confidentiality.
• Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and CPT/ICD10 codes

• Associates degree preferred; HS diploma or GED required
• Proven experience (2+ years) as a Medical Billing Specialist or in a similar role.
• EMR experience required, MEDENT preferred
• Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

Physical Demands:

• Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
• Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff
• Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
• Occasional standing and walking required