Hybrid Positions

　　Experience with Workers' Compensation Billing is needed

　　Growing orthopaedic practice offering challenging work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.

　　Duties and Responsibilities:

　　Research all information needed to complete billing process including obtaining charge information form providers

　　Enters and itemizes charge information into billing system and produces account

　　Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge

　　Ability to process and distribute billing

　　Post payments and applies credits to patient accounts

　　Answer telephone and provides information as requested

　　Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim

　　Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required

　　Participate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing Manager

　　Generate periodic reports and statistics regarding status of patients accounts and receivables.

　　Maintain patient confidentiality

　　Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes

　　Job Qualifications

　　Associates degree preferred; HS diploma or GED equivalent required

　　2+ years medical billing experience required

　　EMR experience required; MEDENT experience preferred

　　Position requires manual and finger dexterity and hand-eye coordination

　　Involves standing, sitting, and walking

　　Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required

　　2-3 years of experience in Workers’ Compensation Billing and AR collections; preferably in physician office setting.

　　Medical Appeals and Denials: 2-3 years. (Required)

　　Orthopedic medicine billing knowledge and experience (Preferred)

　　Working knowledge of new York Workers Compensation Medical Treatment Guidelines

　　Knowledge and experience with OnBoard, Carisk. (Preferred)