What are the responsibilities and job description for the Medical Billing Specialist position at EXCELSIOR ORTHOPAEDICS GROUP?
Job Details
Job Location
Excelsior Orthopaedics Amherst NY - Amherst, NY
Position Type
Full Time
Education Level
High School
Salary Range
16.50 - $29.70 Hourly
Travel Percentage
None
Job Shift
Job Description
Hybrid Position
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 patient insurance information and charge detail from providers.
Enters and itemizes charge information into billing system.
Assists with coding diagnosis or procedures on charge.
Ability to process and transmit billing to insurance company.
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 Billing Manager
Generate periodic reports and statistics regarding status of patient's accounts and receivables.
Maintain patient confidentiality.
Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and CPT / ICD10 codes
Job Qualifications
Associates degree preferred; HS diploma or GED required
Proven experience (2 years) as a medical billing specialist or in a similar role.
EMR experience required, MEDENT preferred
Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands :
Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff
Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy / fax machine, and other office equipment
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