Qureos Mentor

Orthos

<div><h2 class="jobSectionHeader"><b>Position Overview:</b></h2>
<p>This is a remote opportunity; however, candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois, Indiana, Michigan, Missouri, North Carolina, Nevada, Ohio, Oregon, Pennsylvania, Tennessee, or Texas.</p>
<p>Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.</p>
<h2 class="jobSectionHeader"><b>Essential Duties &amp; Responsibilities:</b></h2>
<p>Assist in the processing of insurance claims including worker&rsquo;s compensation (if assigned) for all financial classes</p>
<p>Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts</p>
<p>Oversee claims appeals and reviews; review claims aging status and follow up on open claims</p>
<p>Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy</p>
<p>Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology</p>
<p>Participate in professional development efforts to stay current with health care best practices and trends</p>
<p>Actively participate in the company&rsquo;s efforts to create innovative data and analytics solutions for the modern orthopedic business office</p>
<p>Other duties as assigned</p>
<h2 class="jobSectionHeader"><b>Required Skills:</b></h2>
<ul><li>Minimum of 2+ years of medical billing and accounts receivable follow-up experience preferred</li><li>Orthopedic billing experience strongly preferred</li><li>Knowledge of commercial insurance, Medicare, Medicaid, worker&rsquo;s compensation, and managed care payers</li><li>Understanding of EOBs, denials, appeals, adjustments, authorizations, and payment posting processes</li><li>Ability to interpret payer guidelines and identify billing discrepancies or claim issues</li><li>Familiarity with CPT, ICD-10, and HCPCS coding terminology</li><li>Experience working within EMR/EHR systems and insurance payer portals</li><li>Strong understanding of claim aging, denial management, and timely filing requirements</li><li>Ability to prioritize workload and manage multiple accounts efficiently in a high-volume environment</li><li>Strong attention to detail and organizational skills</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently while maintaining productivity and accountability in a remote work environment</li><li>Proficient computer skills including Microsoft Outlook, Excel, and Teams</li><li>Strong problem-solving and critical thinking skills</li><li>Ability to maintain confidentiality and comply with HIPAA regulations</li><li>Dependable attendance, responsiveness, and follow-through on assigned responsibilities</li><li>Ability to adapt to changing workflows, client needs, and process improvements</li></ul>
<h2 class="jobSectionHeader"><b>Preferred Skills:</b></h2>
<ul><li>CPC, CPB, or other AAPC certification preferred but not required</li></ul></div>

Medical Biller - Remote

Join Orthos and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Orthos

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Medical Biller - Remote

Medical Biller - Remote

Medical Biller - Remote