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Medical Billing Specialist

EXCELSIOR ORTHOPAEDICS GROUP
Buffalo, NY Full Time
POSTED ON 1/21/2025
AVAILABLE BEFORE 4/8/2025

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
  • Occasional standing and walking required
  • Salary : $17 - $30

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