What are the responsibilities and job description for the Medical Billing Specialist position at Excelsior Orthopaedics?

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

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Medical Billing Specialist

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