THIS IS AN IN OFFICE POSITION.
We are looking for 2 surgery center experienced charge audit and billing A/R specialist to join our fast-growing team. Candidates must be motivated, diligent and have strong abilities to multi-task. We are looking for someone who has a minimum of two years' experience of working with orthopedic or surgery centers claims.
This is a brand new surgery center. The first year of billing will be out of network as the surgery center gains contracts.
Past experience in orthopedic surgery billing is preferred. Out of network claims billing experience is a plus.
Job responsibilities include, but are not limited to:
- Charge auditing
- Work claim rejections
- Review ERA's and mail batches on a daily basis for denied claims
- Understanding appeals/reconsiderations and correcting claims
- Use insurance portals to correct and resubmit claims as needed
- Create paper appeals and submit reconsiderations on claims when necessary
- Track and document all claim follow up, reconsiderations, appeals, payments, etc.
- Collaborate with the Billing Manager regularly and communicate any needed changes in provider coding, templates, or overall process to decrease denials
- Research and understand LCD's to maximize reimbursement and avoid denials
- Post some insurance and over the counter payments
- Follow up with insurance carriers (via phone or portal) for claim status/resolution
- Audit and/or enter charges for procedures, office visits, lab charges, apply modifiers- ensure clean claim entry and coding
- Reading and understanding of emails from supervisors and following policies and directions
This is a full-time position, Monday - Friday. We offer competitive pay, benefits, and 401K with match. We are looking for a long-term employee. We have an amazing team you will be joining into with a positive and fast paced work environment!
*Please do not apply without prior billing experience. This position is in office only.*
Joining bonus of $500 after 4 months.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- ICD-10: 2 years (Required)
Work Location: In person