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Form of workAre you looking for an exciting opportunity?
We currently have a full-time opening for a Medical Billing Specialist at our Mt. Laurel, NJ location. If you are looking for a fast-paced environment where you can make a difference every day, then this is the opportunity for you!
The right person to join our team is...
This position requires confidence, independent action, initiative, a sense of urgency, and the ability to make decisions and take responsibility for them. A well-suited candidate can react and adjust quickly to changing conditions and develop practical ideas for dealing with them. The style is purposeful, directed at getting things done quickly. There is a strong demand for high-quality, organized, and repeatable results.
This position is responsible for...
The Medical Billing Specialist is responsible for coordinating patient and insurance billing for DME, orthotic and prosthetic devices, meeting accuracy, compliance, and productivity standards. S/he reviews all claims to assure proper documentation, prior authorization, and patient eligibility are met to achieve successful payment of claims while providing exceptional customer service to patients, business partners, and customers.
Your day will be very busy… you will:
- Prepares and reviews Durable Medical Equipment, Prosthetics/Orthotics & Supplies (DMEPOS) claims for accuracy, completeness, and obtains any missing information prior to finalization of claim for submission.
- Verifies correct payor selection.
- Checks eligibility and verifies benefits for products dispensed.
- Utilizes insurance carrier portals for eligibility and claims information.
- Obtains authorization and pre-authorization as required.
- Works in conjunction with the Health Information Management (HIM) department to ensure submission of clean claims.
- Answers questions from patients, clerical staff, and insurance companies.
- Uses knowledge of standard medical terminology, basic human anatomy, and orthopedic diagnoses ICD-10 codes.
- Resubmits claims to insurance companies as necessary.
- Reviews denial trends to understand issues and corrective actions.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Assists in development and communication of SOPs for key areas to improve accuracy and understanding of processes.
- Achieves team goals while demonstrating organizational values and utilizing resources responsibly.
- Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations.
- Cross trains within the billing department to provide coverage when necessary.
- Promotes Breg’s culture of accountability by demonstrating and exemplifying Breg’s cultural beliefs.
- Supports all other medical billing and collection tasks as required.
What your background will be:
- High School diploma or equivalent required.
- A minimum of 1+ years of recent experience in medical billing required.
- Experience with a variety of payor groups required
- Knowledge of CPT, ICD-10, and HCPCS coding and insurance billing rules.
- Proficient in Microsoft Excel, Word, and electronic e-mail systems.
- Ability to work in a fast-paced environment while remaining calm and professional.
- Ability to maintain consistent, regular attendance and punctuality.
- Proficient in computers and relevant software application and practice management technology.
- Possession of strong problem-solving skills and sound judgement.
- Excellent organizational skills and ability to multitask.
- Exhibits high level of quality through attention to detail and monitoring of work.
- Excellent verbal and written communication skills, as well as exceptional interpersonal communication skills.
What we can offer you...
Our insurance benefits are effective the 1st of the month after your hire date.
- Medical /Dental /Vision plans
- PTO (paid time off)
- Holiday Pay
- Life Insurance / STD / LTD
For more information regarding Company benefits, please contact hr@breg.com.
Salary/Pay Range: $20.00/hr-$23.50/hr
This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus.
For six consecutive years, Breg has been awarded The National Business Research Institute (NBRI) circle of Excellence Award for employee engagement.
If you meet the requirements above and would like to apply for this position, please visit our website at www.breg.com and click on the ‘Careers’ section.
Breg is an Equal Employment Opportunity Employer and dedicated to a diverse workforce and Drug-Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.
Applicants must be currently authorized to work in the United States on a full-time basis. The company will not sponsor applicants for a work visa for this position.
