What are the responsibilities and job description for the Site Billing Specialist - Remote position at HOPCo?
Benefits:
- Competitive Health & Welfare Benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 1 month of service with company match (Part-time employees included)
- Employee Assistance Program that is available 24/7 to provide support
- Employee Wellness Events
Minimum Qualifications:
- Minimum two to three years of billing experience in a physician's practice.
- Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
Preferred:
- Prefer prior coding experience with CPC, CCS, RHIT, or RHIA Certification.
Essential Functions
- Maintains productivity and accuracy metrics per department expectations.
- Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
- Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
- Updates and confirms as necessary to allow processing of claims to insurance plans.
- Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
- Attaches referrals/authorizations to appointments/charges if available.
- Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
- Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance.
- Councils patients face to face when patients have questions or concerns regarding outstanding balances.
- Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
- Completes daily requests and works through obstacles on account balance to ensure maximum reimbursement.
- Identifies and communicates trends and/or potential issues to the management team.
- Follows and maintains all HOPCo policies and procedures, including those specific to billing.
- Other duties as assigned by leadership.
About us:
The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?
- #1 for Orthopedic Practices
- #1 for Healthiest Healthcare Employers
- #3 for Best Healthcare Workplace Culture
- Winner in Best Places to Work
