Plano, Texas
Orthopedic Billing Specialist Job Opening in Plano, Texas - As members of the DOC team, we are instrumental in bringing hospitality to healthcare. Come join DOC as an Orthopedic Billing Specialist for our service driven organization.
As a Billing Specialist, your lead outcomes will include:
Follow Insurance and Guest Aging of accounts through to complete resolution
Lead efforts in reviewing accounts with outstanding balances and determining correct action to ensure reimbursement
Establish payment arrangements with guests; monitoring payments and following up with guests as needed
Manage work flow of the assigned accounts and prioritize the issues to meet deadlines for filing and reimbursement
Meet monthly performance metrics
As a Billing Specialist, your core responsibilities will include:
Review CPT, ICD-10 and modifier coding for accuracy
Submit EDI claims and work clearinghouse rejection reports
Post insurance and guest payments; perform necessary adjustments
Review payment denials and claim rejections; research and resubmit within established time frames
Document transactions to maintain adequate audit trail
Process electronic guest statements
Process electronic EOB?s
Prepare daily, weekly, monthly and yearly reports
Review and resolve accounts with credit balances. Request refunds and/or adjustments as necessary
Maintain work operations by following policies and procedures; reporting compliance issues
Update job knowledge by participating in educational opportunities
As a Billing Specialist, DOC requires the following competencies:
Behaviors and standards that model DOCs values and delivers a service experience that is unrivaled
Certified Coder (CPC) or Certified Professional Biller (CPB)
Minimum of 3 years Orthopedic billing experience
Workers? Compensation
Solid understanding of PM/EMR systems
Extensive knowledge of health insurance billing and processes, provider plans and payer contracts
Ability to work independently
Proactive leadership
Active listening skills
Behavior that is enthusiastic
Enjoy working as part of a team
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Medical Billing: 2 years
Required license or certification:
CPC
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
billing: 3 years
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