Medical Billing Specialist Orthopedics

Position Summary:

The Medical Billing Specialist will actively participate to expedite all aspects of commercial and BWC claims from First Report of Injury to claim submission and all aspects in between. As a working member of Billing Operations, the Medical Billing Specialist is a key component of the HMA and HATS teams in providing excellent claims management.

Summary Primary Responsibilities –Billing Specialist:

1. Preview appointments for accurate insurance and case information and attachment, making corrections as appropriate
2. Verifying and/or obtaining approvals for services to be rendered
3. Communicate with patients regarding insurance processes via face-to-face interaction and/or telephone
4. Communicate with clinical staff (doctors, patient care coordinators, therapists) to recommend and obtain appropriate diagnosis(es) allowance(s) based on documentation
5. Maintain patient confidentiality
6. Administrative support in all areas involving BWC and Commercial Insurance Claims
7. Special projects and other duties as assigned
8. Communicate weekly with Office Operations Coordinator

Qualifications:

1. Working knowledge of CPT and ICD required; surgical coding and orthopedic coding experience preferred
2. Insurance billing experience preferred
3. Ability to prioritize own work and work of others
4. Excellent Customer Service
5. Excellent written and verbal communication skills
6. Strong personal computer skills (Microsoft Office and Windows)
7. Detail oriented
8. Highly dependable