What are the responsibilities and job description for the BILLING SPECIALIST position at OAA Orthopaedic Specialists?
Job Details
Description
Summary: The billing specialist is responsible for coordinating patient and insurance billing for our multi-specialty orthopaedic group and providing patient care excellence by performing the following duties.
Essential Functions:
• Responsible for following entire revenue cycle from charge entry through insurance and patient payments.
• Answers telephone, and responds to inquiries from insurance carriers, patients and co-workers.
• Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
• Contacts patients regarding collection of outstanding balances.
• Establishes payment plans to help patients manage payment of bills.
• Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
• Retrieve messages from voicemail and forward to the appropriate personnel.
• Operates computer to process, store, and retrieve health information.
• Other duties may be assigned.
Qualifications
Qualifications:
• High school diploma or general education degree (GED).
• Two to 3 years related billing experience; or equivalent combination of education and experience.
• Medicare experience preferred.
• Detail oriented, outgoing and professional
• Previous medical billing and surgery billing experience required
• Experience with billing program software preferred
• Knowledge of ICD-10, CPT, HCPCS codes and documentation guidelines
• Working knowledge of third-party insurance
• Effective communication skills
• Ability to work independently and as part of a team
• Prior customer service representative experience beneficial