What are the responsibilities and job description for the Medical Billing AR Specialist position at Total Orthopedics & Sports Medicine?
Overview:
We are seeking a dedicated Medical Billing AR Specialist with a strong background in managing accounts receivable billing and collection of payments for all designated payors and locations in order to meet and maintain our goal to join our dynamic team. In this role, you will be responsible for transferring patient and insurance information and initiating payment processes and procedures. You will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. You will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.
Responsibilities:
- Identifies and resolves billing inquiries/problems
- Codes services provided utilizing CPT and ICD-10 coding
- Experience with Medicare, Commercial, Worker's Comp and No-Fault claims follow up
- Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers
- Working rejections from the clearinghouse to correct errors for resubmissions
- Generates and submits electronic claims and statements at designated
- intervals; corrects any errors for complete and accurate transmission of
- data
- Able to handle patient inquiries regarding billing issues, out of network issues, and explaining insurance guidelines to patients
- Read and analyze patient records to determine correct codes for billing to insurance provider
- Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers
- Researches and processes refund requests and overpayments
- Prepares correspondence and/or collection letters
- Performs other related duties as assigned by senior management
Job Type: Full-time
Pay: $25.00 - $28.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Parental leave
- Vision insurance
Work Location: In person
Salary : $25 - $28