What are the responsibilities and job description for the Billing Specialist position at Direct Orthopedic Care?
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:
- Ensure CPT and ICD10 coding are supported by clinical documentation
- Lead efforts in reviewing accounts with outstanding balances
- 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
- Document transactions to maintain adequate audit trail
- 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
- Coding Certification Required
- Minimum of 1 year Orthopedic billing experience
- Workers’ Compensation Knowledge/Experience
- 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
- Flexibility/Adaptability
