Job Description

This role offers is a hybrid position*

Job Summary

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 charge information form providers.
• Enters and itemizes charge information into billing system and produces account.
• Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge.
• Ability to process and distribute billing.
• 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 Team Lead or Billing Manager.
• Generate periodic reports and statistics regarding status of patients accounts and receivables.
• Maintain patient confidentiality.
• Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes.

Requirements and Qualifications

• Associates degree preferred; HS diploma or GED equivalent required.
• 2+ years medical billing experience required.
• EMR experience required; MEDENT experience preferred.

Physical Demands

• Position requires manual and finger dexterity and hand-eye coordination.
• Involves standing, sitting, and walking.
• Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required.

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