What are the responsibilities and job description for the Billing and Precerts position at Martin Orthopedics?
Overview
Join our dynamic healthcare team as a Billing and Precertification Specialist, where your expertise will drive efficient revenue cycle management and ensure seamless patient care. In this vital role, you will be responsible for managing medical billing processes, obtaining necessary authorizations, and ensuring accurate coding to facilitate timely reimbursements. Your proactive approach and attention to detail will contribute significantly to the operational success of our healthcare facility.
Duties
- Submit precertification requests to insurance providers for scheduled procedures and treatments, following up to secure approvals before services are rendered.
- Verify insurance coverage and benefits, resolving any discrepancies or denials related to medical billing or collections.
- Manage electronic medical record (EMR) and electronic health record (EHR) systems to document billing information, coding details, and authorization statuses efficiently.
- Communicate with healthcare providers, insurance companies, and patients to clarify billing issues, gather necessary documentation, and expedite claims processing.
- Monitor unpaid claims and follow up on outstanding payments through medical collection procedures while maintaining detailed records of all correspondence.
- Stay updated on changes in medical coding standards, insurance policies, and regulatory requirements affecting billing practices.
Experience
- Strong knowledge of medical terminology, medical records management, and insurance reimbursement processes.
- Familiarity with EMR/EHR systems used in healthcare settings for billing and documentation purposes.
- Ability to interpret complex medical documentation and accurately assign appropriate codes for procedures and diagnoses.
- Excellent communication skills for liaising with providers, insurers, patients, and team members effectively.
- Prior experience with medical collections procedures is preferred.
- Demonstrated understanding of healthcare compliance standards related to billing and precertification processes. Embark on a rewarding career where your skills directly contribute to delivering quality healthcare while supporting the financial health of our organization!
Expected hours: 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Paid time off
- Vision insurance
Work Location: In person