Role/Position Definition: Experienced orthopedics biller with a focus on A/R Follow-up. Responsible for maintaining accounts receivables. Process claims daily, submit all primary, secondary and tertiary claims electronically. Collects unbilled claim edits. Understands and abides by billing compliant regulations.
Qualifications/Position Requirements:
· High School Diploma required.
· One to two years’ experience of revenue cycle management or billing experience in the healthcare field.
· Knowledge of Medicaid/Managed Care Organization (MCO) billing practices, and other insurance websites.
· Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.
· Intermediate to advanced computer skills, including the use of Microsoft Office applications.
Duties and Responsibilities:
· Submits claims to payors in accordance with payor requirements and agency policy.
· Receives notices of claim rejections and denials.
· Properly track and resolve issues to ensure claim payment.
· Maintains complete and accurate accounts receivable records.
· Performs troubleshooting for billing error codes.
· Alerts the Manager regarding late or missing documents required for billing.
· Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the Manager regarding seriously overdue accounts.
· Produces reports as needed.
· Performs administrative duties such as sorting, scanning, filing, and emailing records.
· Address denials and determine next steps.
· Follow up on unpaid claims prior to filing deadlines.
· Re-bill or submit corrected claims.
· Monitor provider newsletter and communications for changes impacting claims payment.
· Prepare insurance refunds.
· Request off-sets and take-backs for overpayments.
· Performs all other duties as assigned.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Work Location: Hybrid remote in Warren, MI 48093
