Elite Sports Medicine + Orthopedics is seeking a Billing Specialist focused on insurance collections. The role involves working on aging reports, managing denials, and ensuring proper documentation in the practice management system.
Responsibilities
- Work Insurance Aging with a focus of 61 days and older aged accounts
- Working Work Comp
- Properly communicate and document denials in the practice management system
- Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates
- Submit appeals for denied claims
- Research and resolve outstanding claim issues
- Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor
- Review payer specific communication and update necessary team members and departments
- Identify trends in denials and communicate to your supervisor
- Respond to written and telephone billing inquiries from patients
- Participate in weekly team meetings
- Other miscellaneous tasks delegated by management
Skills
- High school diploma required
- Work Insurance Aging with a focus of 61 days and older aged accounts
- Working Work Comp
- Properly communicate and document denials in the practice management system
- Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates
- Submit appeals for denied claims
- Research and resolve outstanding claim issues
- Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor
- Review payer specific communication and update necessary team members and departments
- Identify trends in denials and communicate to your supervisor
- Respond to written and telephone billing inquiries from patients
- Participate in weekly team meetings
- Other miscellaneous tasks delegated by management
- Knowledge of Billing and Collections procedures
- Knowledge of CPT and ICD-10 CM coding
- Knowledge of MS Office Suite, especially Word, Excel and Outlook
- Excellent written and verbal communication abilities
- Goal-oriented and strong attention to details
- Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
- Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process
- College education or trade school preferred
- Experience working in a physician office or hospital billing-type position preferred
- Orthopedic claims experience is preferred
- Proven record of discussing financial responsibilities and establishing payment plans when necessary
- Comfortable using email and interacting various applications
Benefits
- Three Medical Plans Options (your choice of a PPO or HDHP)
- Dental and Vision Coverage
- Health Savings Account (with HDHP)
- Employee Assistance Program
- Company Provided Basic Life, AD&D and Long-Term Disability
- Voluntary Life and Short-Term Disability
- PTO Accrual
- Paid Holidays
- 401(k) + employer match
Company Overview
Elite Sports Medicine + Orthopedics is a medical practice company that provides orthopedic care and services for musculoskeletal pain. It was founded in 2005, and is headquartered in Nashville, Tennessee, USA, with a workforce of 201-500 employees. Its website is http://eliteorthopaedic.com.
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