What are the responsibilities and job description for the Medical Billing Specialist - Hybrid/Remote position at Graham Allen Partners?
Position Overview :
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Essential Duties & Responsibilities :
- Assist in the processing of insurance claims including worker's compensation (if assigned) for all financial classes
- Communicate with insurance companies to ensure that claims are paid; identify and correct account and / or insurance error; and post all actions and maintain permanent record of patient accounts
- Oversee claims appeals and reviews; review claims aging status and follow up on open claims
- Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
- Understand, and stay up to date with, clinic and insurance industry contract policies / procedures and medical terminology
- Participate in professional development efforts to stay current with health care best practices and trends
- Actively participate in the company's efforts to create innovative data and analytics solutions for the modern orthopedic business office
- Other duties as assigned
Required Skills :
Preferred Skills :
Skills & Requirements Qualifications Orthos is a leading-edge data analytics company, created to help orthopedic practices solve their biggest challenges. Our software helps revenue cycle teams process claims faster, hold insurance companies accountable, provide transparency into the performance of the practice, all while contributing to a better overall patient experience. We help orthopedic providers keep their focus on care while we ensure that their business operations and revenue cycle management processes perform to the highest standards.