JobID: 29470
Orthopedic Medical Biller / Collector Job Description:
Pay: $17-20/hr
Location: St. Louis, MO
Responsibilities:
- Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Research and appeal denied claims
Qualifications and Skills:
- Orthopedic billing experience is required
- Minimum of 3 years of experience in medical billing/collections
- NextGen experience is preferred
- Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
- Care Tracker or Amazing Charts experience required
- Effective communication with insurance payers to resolve issues
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
- Able to work in a team environment
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Knowledge of medical terminology likely to be encountered in medical claims