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Billing Specialist

MD West ONE offers the most comprehensive head-to-toe musculoskeletal and nervous system practice in the region. Our depth in orthopedic, neurosurgery and spine specialized care allows our patients to be seen under ONE versatile, collaborative entity.

OBJECTIVE: To research and maintain billing records by verifying claim information, resolving inaccuracies in billing and/or patient information, processing insurance claims and denials and posting payments to patient accounts.

PRIMARY RESPONSIBILITIES:

· Ensure timely submission of billing charges and account follow-up, including adjustment claims, reconsiderations, and adjustment requests.

· Review medical records, operative notes, invoices, progress notes and discharges to ensure accurate claim submissions.

· Record all payment to related accounts including patient, insurance, and medical record payments.

· Handle insurance inquiries by answering questions from patients and taking patient payments by phone.

· Communicate with medical staff and insurance companies to verify insurance information and medical records to ensure timely payment.

· Monitor claim status and patient balances and provide and document related claim information.

· Other duties as assigned.

QUALIFICATIONS:

· High school diploma or equivalent, required.

· Basic knowledge of insurance billing including CPT, ICD 10 and HCPCS, required.

· Proficient computer skills, experience with Microsoft Office and EMR systems, required.

· Basic knowledge of physiology, anatomy, and medical terminology, preferred.

· Experience in a neurosurgery, orthopedics setting, physical therapy or pain, preferred.

KNOWLEDGE, SKILLS AND ABILITIES:

· Ability to build strong relationships at all levels of the organization and provide exemplary customer service to patients.

· Ability to listen effectively, as well as strong communication skills.

· Must demonstrate professionalism at all times.

· Demonstrate strong analytical skills and judgment.

· Ability to work independently or as part of a team and meet deadlines.

· Maintain regular attendance.

· Ability to reach with hands and arms to operate office and/or medical equipment.

· Ability to sit, stand and walk for extended periods of time.

· Ability to lift and push up to 5lbs on a regular basis and up to 25lbs on occasion.

· Ability to travel to clinic locations, as needed.

WORK CONDITIONS:

· Works in a hybrid environment. May work remotely some days or may work inside in a medical clinic office setting. Medical clinic office setting: Will be a clean, well-lit area. May deal with unpleasant environmental situations resulting from patient care or patient activity.

· Job may require contact with clinic staff, adjacent hospital staff, and/or patients; potential exposure to communicable and/or infectious diseases.

If you are dedicated, compassionate, and committed to providing quality care, we encourage you to apply for this rewarding position.

MD West ONE provides equal employment opportunity to and will not discriminate against applicants or employees on the basis of race, color, religion, sex, age, disability, marital status, genetic information, or because of past, current, or future military obligations or status, or on any other basis protected under federal, state or local laws, regulations, or ordinances. This policy applies to all terms and conditions of employment, including, without limitation, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Job Type: Full-time

Benefits: