Medical Biller

Description

OCR has been the premier provider of orthopaedic care in Colorado, Wyoming, and Nebraska for 55 years! As we continue to grow, we are looking for individuals who share our values and are looking to contribute to our mission and vision. Are you passionate about patient care, teamwork, and inspiring others? If so, join the specialists in the medicine of motion today!

The Medical Biller primarily performs processes associated with entering and billing patient office charges, surgery charges, facility charges, payments, and adjustments, as well as having a working understanding of demographic and insurance information. This position works closely with other OCR Business Office departments to develop a thorough understanding of insurance plans, their billing requirements, and a basic understanding of OCR participation with insurance carriers. The Medical Biller also performs cashiering duties involving preparing bank deposits, printing merchant services reports, performing credit card transactions, and reconciling payment postings with bank deposits.

Essential Duties And Responsibilities

• Possess a strong knowledge of ANSI reason and remark codes with ability to read and interpret insurance explanation of benefits (EOB) in many formats. In-depth comprehension of insurance denials and posting into patient accounts.
• Proficiency with posting contractual and sequestration adjustments.
• Demonstrates a thorough knowledge of Current Procedural Terminology (CPT) codes, modifiers and respective charges and maintains accurate entry into computer system.
• Posts daily visit charges and receipts into the correct patient account in an accurate and timely manner. Totals and matches all batches run for posting and forwards to designated personnel for proofing.
• Records and updates patient demographic information and obtains required billing and insurance information from patients as needed. Processes billing from the Health Care Finance Administration Form (CMS1500) and Uniform Billing Form (UB04).
• Examines visit tickets, claim forms and explanation of benefits for potential problems and communicates findings in a timely manner.
• Performs cashiering duties involving preparing bank deposits, printing merchant service reports, performing credit card transactions, and reconciling payment postings with receipts.
• Maintains clean and orderly work area including personal area, computer room, and record storage area.
• Required to follow OCR and departmental policies and procedures.
• Other duties as assigned.
  
  

Requirements

• High School diploma or equivalent is required.
• Minimum one year experience in data entry role (ie. insurance payment posting) preferably in a medical environment. Education may be substituted for experience.
• Knowledge of medical terminology preferred.
• Proven speed and accuracy in data entry and 10-key procedures.
• Core competencies in quality, detail oriented, planning/organizing, communication, teamwork, and confidentiality.
  
  

Physical Requirements

This position works in a typical medical office environment. There are regular interruptions and significant distractions to work including, but not limited to: phones ringing; patients and staff walking by; noisy conversations that carry; and answering questions asked by others.

This is a mostly sedentary position that requires the ability to move about an office environment and operate office equipment such as computers, printers, telephones, and fax machines. The person in this position must frequently communicate with patients, doctors, coworkers, and others utilizing various equipment such as telephones and email. The employee will occasionally lift and/or move up to 20 pounds and should do so in a sound and safe manner.

Benefits

• Medical, Dental, Vision coverage
• Life and AD&D Insurance
• Short Term and Long Term Disability Insurance
• Retirement savings and profit sharing plan participation
• Employee Assistance Program
• Continuing Medical Education (depending on position)
• Paid Time Off
• Benefit eligibility is dependent on employment status, and a waiting period may apply.
  
  

Orthopaedic & Spine Center of the Rockies (OCR) is an Equal Opportunity Employer and prohibits discrimination or harassment of any kind. OCR is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual experience and qualifications, without regard to a person's race, color, age, sex, gender identity, gender expression, marital status, sexual orientation, religion, creed, national origin, the presence of any physical or mental disability, or status as a disabled veteran, recently separated veteran, other protected veteran, or Armed Forces service medal veteran, or any other protected status.

Applications will be accepted until the position is filled; to receive full consideration, please apply by July 31, 2026