Revenue Cycle Specialist - Orthopedic Billing - IN PERSON ONLY

**About us**: Plymouth Bay Orthopedics Associates (PBOA) is one of the fastest growing, progressive, comprehensive orthopedic, sports therapy and pain management group on the South Shore/Cape Cod. Our team of friendly and diverse physicians are all board certified in Orthopedic Surgery, Sports Medicine, Physical Medicine and Rehabilitation. We have a team/family\-oriented culture with great hours, competitive pay, benefits, and open interaction between our staff and management. **Qualifications**: * Experience with variety of billing issues involving payers (Medicare, Medicaid, private insurance, worker’s compensation) including forms, coding compliance and reimbursement guidelines * Thorough knowledge of medical terminology, managed care financial agreements; knowledge of CPT, HCPCS, and ICD\-10 codes * Knowledge of medical billing/coding/collection practices required * Knowledge of medical office procedures required * Ability to establish and maintain effective working relationships with patients, employees, and providers * Must be well organized and detail\-oriented * Medical Coding knowledge *(Preferred, not required)* * Microsoft experience required **Job Duties and Responsibilities** * The Billing Specialist is responsible for collecting, posting, and managing account payments * The Billing Specialist is also responsible for submitting claims and following up with insurance companies * Prepares and submits clean claims to various insurance companies either electronically or by paper * If the claim is denied by the third\-party payer, the medical billing specialist must investigate the claim, verify its information, and update the database * Oversees patient access activities including pre\-registration, insurance verification, patient registration, patient check out, upfront collections, billing and medical records and provides general administrative assistance to the provider * Evaluates documentation to ensure that appropriate, accurate, and complete information is maintained and appropriate authorizations are obtained * Processes payments from insurance companies * Prepares, reviews, and sends patient statements * Identifies and resolves patient billing complaints * Follows and reports status of delinquent accounts * Performs various collection actions including contacting patients by phone and correcting and resubmitting claims to third party payers * Reviews accounts for possible assignment and makes recommendations to the Billing team leads, also prepares information for the collection agency * Answers questions from patients, clerical staff, and insurance companies * Maintains strict confidentiality; adheres to all HIPAA/HITECH guidelines and regulations Location: Plymouth MA 02360 Job Type: Full\-time Pay: $23\.00 per hour Benefits: * 401(k) * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday Work Location: In person