Job Description

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.

Work hours: This position supports a client located in Oregon and would require work hours from 8:00am - 5:00pm PST.

Responsibilities:

1. Assist in the processing of insurance claims including worker's compensation (if assigned) for all financial classes.
2. Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance errors; and post all actions and maintain a permanent record of patient accounts.
3. Oversee claims appeals and reviews; review claims aging status and follow up on open claims.
4. Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy.
5. Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology.
6. Participate in professional development efforts to stay current with health care best practices and trends.
7. Actively participate in the company's efforts to create innovative data and analytics solutions for the modern orthopedic business office.
8. Other duties as assigned.

Required Skills

1. High school diploma or equivalent, college courses or certificate preferred.
2. Excellent communication skills, especially phone skills, that encourage the establishment and maintenance of cooperative, positive relationships with both internal and external stakeholders (patients, physicians, colleagues, etc.).
3. Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules.
4. Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill.
5. Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting.
6. Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo.
7. Ability to learn quickly and contribute ideas that make the team, processes, and solutions better.
8. Share our values: resilience, altruism, communication, achievement, and determination.

Preferred Skills

• Two years of billing experience in a hospital and/or surgical setting.

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