What are the responsibilities and job description for the Medical Biller/Insurance follow up position at The Center for Orthopedic and Research E?
Job Description
Job Description
Benefits :Minimum Qualifications :
- Minimum two to three years of experience in medical billing.
- 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.
- HSD / GED
- Knowledge of computer systems. Experience with GE patient management system p
- Knowledge of the physician billing processes, ICD-10, and CPT coding.
- Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials / rejections.
- Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
- Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
- Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
- Obtains and attaches referrals / authorizations to appointments / charges.
- Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
- Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
- Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
- 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 and the Revenue Cycle.
- 1 for Orthopedic Practices
- 1 for Healthiest Healthcare Employers
- 3 for Best Healthcare Workplace Culture
- Winner in Best Places to Work
Preferred :
Essential Functions
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!?
Salary : $18 - $21
