Billing and Collections Specialist

We are a growing Orthopedic practice serving Northwest Indiana and the greater chicago area for over 20 years. We are looking for an experienced, determined and knowledgeable Medical Billing and Collection Specialist. The perfect candidate for this position will have extensive experience in medical billing as well as experience working with a team of billers.

Essential duties include and are not limited to:

• Process charges in the EMR charge hold for all physicians and therapy services.
• Contact physician/therapist if there is any missing or incomplete information in the documentation.
• Process all claims to all payers electronically or via paper if necessary daily.
• Review and correct claims that fail claim edits and/or are rejected from the clearinghouse.
• Work all denials and aged claims via a work queue.
• Submit adjusted or corrected claims as needed with appropriate information.
• Update insurance and send corrected claims when new information is provided.
• Review and respond to all correspondence or phone calls from payers and patients timely.
• Use payer sites, telephone, email to follow up on all accounts for payment resolution.
• Identify and resolve issues causing payment delays.
• Submit appeals timely following the payer contract guidelines.
• Adhere to all billing, coding and payer contractual guidelines.
• Collection of all self-pay patient balances.
• Review and interpret EOB’s accurately and verify the balance on the account is correct.
• Review and send accounts to bad debt/collection agency.
• Provide excellent customer service while maximizing collections.
• Other duties as assigned by management.
• Monitors and follows-up on Aging
• Ensures patient account billing information and account balances are accurate and makes necessary adjustments in the computer system and documents all activity taken on the account for an audit trail.
• Knowledge and experience with healthcare revenue cycle operations including patient accounting procedures

Qualifications

· Billing follow up experience in revenue cycle functions for an orthopedic/spine surgical practice.

· Must be well organized, detail oriented, and able to multitask

• Knowledge of general principles of medical billing including verification, authorization, posting charges, procedures, diagnosis, medical necessity as well as knowledge of federal, and state regulations and billing rules.
• Willingness to participate in goal-setting and educational activities for own growth and advancements.
• Able to take direction, follow instructions, or act independently as the need arises

· High school or equivalent (Required)

• Competence in Microsoft Office software (Preferred)

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k)
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Microsoft Excel: 1 year (Preferred)
• Customer service: 1 year (Preferred)

Ability to Commute:

• Munster, IN 46321 (Required)

Ability to Relocate:

• Munster, IN 46321: Relocate before starting work (Preferred)

Work Location: In person

Salary : $18 - $21