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