Workers Compensation Billing Specialist

*Hybrid Positions* 

Experience with Workers' Compensation Billing is needed

Growing orthopaedic practice offering challenging work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.

Duties and Responsibilities:

• Research all information needed to complete billing process including obtaining charge information form providers
• Enters and itemizes charge information into billing system and produces account
• Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge
• Ability to process and distribute billing
• Post payments and applies credits to patient accounts
• Answer telephone and provides information as requested
• Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim
• Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required
• Participate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing Manager
• Generate periodic reports and statistics regarding status of patients accounts and receivables.
• Maintain patient confidentiality
• Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes

• Associates degree preferred; HS diploma or GED equivalent required
• 2+ years medical billing experience required
• EMR experience required; MEDENT experience preferred
• Position requires manual and finger dexterity and hand-eye coordination
• Involves standing, sitting, and walking
• Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required
• 2-3 years of experience in Workers’ Compensation Billing and AR collections; preferably in physician office setting.
• Medical Appeals and Denials: 2-3 years. (Required)
• Orthopedic medicine billing knowledge and experience (Preferred)
• Working knowledge of new York Workers Compensation Medical Treatment Guidelines
• Knowledge and experience with OnBoard, Carisk. (Preferred)