Job description

Premier Orthopedics and Sports Medicine is looking for a Site Billing Specialist to work at our Newtown Square, PA corporate office.

At Premier Orthopaedics, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

Site Billing Specialist Summary: Responsible for charge capture process and revenue integrity of professional charges, including but not limited to, abstracting data from medical records, coding diagnoses, and procedures, along with educating providers and staff, while maintaining work queue goals and acting as a resource to help maintain patient relations.

ESSENTIAL FUNCTIONS

• Maintains productivity and accuracy metrics per department expectations.
• Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Updates and confirms as necessary to allow processing of claims to insurance plans.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Attaches referrals/authorizations to appointments/charges if available.
• Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
• Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance.
• Councils patients face to face when patients have questions or concerns regarding outstanding balances.
• Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
• Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
• Identifies and communicates trends and/or potential issues to the management team.

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE

• Minimum two to three years of billing experience in a physician's practice.
• Prefer prior coding experience with CPC, CCS, RHIT, or RHIA Certification.

KNOWLEDGE

• Minimum two to three years of billing experience in a physician's practice.
• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
• Prior coding experience with CPC, CCS, RHIT or RHIA Certification preferred.
• Knowledge of government provisions and billing guidelines.
• Advanced computer knowledge, including Window based programs.

SKILLS

• Skilled in defusing difficult situations and able to be consistently pleasant and helpful.
• Skill in using computer programs and applications.
• Skill in establishing good working relationships with both internal and external customers

ABILITIES

• Ability to multi-task in a fast-paced environment.
• Must be detailed oriented with strong organizational skills.
• Ability to understand patient demographic information and determine insurance eligibility.
• Ability to work independently and demonstrate the ability to analyze data.
• Ability to type a minimum of 45 wpm.

Job Type: Full-time

Pay: From $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Newtown Square, PA 19073: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)
• Orthopaedics: 1 year (Preferred)

Work Location: Hybrid remote in Newtown Square, PA 19073

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