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Form of workJob Description
Objective:
The Reimbursement Specialist will be expected to follow up on open claims and maintain patient information. The individual will also process denials and appeals to assure collections.
Key Functions:
- Work claims and claim denials to ensure maximum reimbursement for services provided via insurance portals and/or phone calls
- Prepare appeals and follow up on claims
- Collections and payment posting
- Analyze and correct any billing errors such as HCPC, diagnosis, modifiers, etc.
- Develop and maintain relationships with insurance companies and other third party payers
- Work closely with patients to address payment questions and resolve collection issues
- Work closely with management and field sales force as needed
Competencies :
- Detail orientated and dependable
- Excellent patient communication and customer service skills
- Knowledge of governmental regulations, including HIPAA, OSHA, and other compliance programs
- Ability to be firm and aggressive with third party payers to secure pre-certs and collect cash
Qualifications:
- Minimum of 2 years experience in medical billing and collecting
- DME experience is preferred
Synergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.
