Description

Orthopaedic Associates offers the expertise and experience of Board-certified specialists. With care and compassion, our surgeons take the time to get to know our patients, to carefully diagnose the source of the problem and to develop a treatment and recovery plan specific to your needs. Our surgeons are trained in minimally invasive techniques, including joint replacements and arthroscopic procedures on the shoulder, elbow, hip and knee, foot and ankle, wound care, and small-incision approaches for fracture care. Minimally invasive techniques help speed recovery and generally result in minimized pain.

We are a diverse, inclusive and equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, age (40+), disability status, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, protected military or veteran status, or any other characteristic protected by law.

JOB SUMMARY

A Medical Billing Charge Posting Specialist is responsible for accurately entering and coding patient information and charges into a medical billing system. The specialist ensures that all charges are properly coded, entered, and submitted for reimbursement to insurance companies and other payers.

ESSENTIAL JOB RESPONSIBILITIES

Seeking an experienced Medical Billing Charge Posting Specialist for a busy orthopedic group. Must have 2 years of full-time experience as a Medical Billing Charge Posting Specialist. Must be knowledgeable in medical codes to determine how much is owed and whether any outside insurance covers part or all of their balance.

• Must have knowledge of ICD-10 and CPT Coding.
• Knowledge of HCPCS coding system.
• Review and verify patient information and charges.
• Code patient information and charges using ICD-10 and CPT codes.
• Enter patient information and charges into the medical billing system.
• Review and resolve any billing errors or discrepancies.
• Submit claims to insurance companies and other payers.
• Follow up on unpaid or denied claims.
• Communicate with patients and insurance companies regarding billing issues.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• A calm manner and patience working with insurers, peers, and others.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act (HIPAA).
• Orthopedic (and Spine), Podiatry, and Surgery billing experience a "big" plus.
• Must have experience obtaining prior authorizations and knowledge of processes.
• Other duties as assigned.

SKILLS & ABILITIES

• Very strong verbal and written communication skills
• DME experience a plus
• Must have excellent grammar and spelling
• Willingness to learn and show initiative at all times

• A calm manner and patience working with insurers, peers, and others.
• Competent use of computer systems

• Strong patient service and interpersonal skills as we are high on customer service
• Excellent organizational and time management skills
• Excellent work ethics and ability to treat documents with confidentiality

• Ability to work well in a team environment while being able to prioritize, accept feedback, and manage conflict in a reasonable fashion
• Ability to multi-task efficiently in a fast-paced environment

• Have experience with medical terminologies, diagnostic procedures
• Strong communication and customer service skills
• Ability to learn quickly and work under pressure in a fast-paced environment

EDUCATION

• High school graduate or equivalent

EXPERIENCE

• Minimum two years full-time clinical experience in a healthcare facility in medical billing and charge posting. Bilingual a plus and orthopedic experience a big plus (but not required)