.. care in collaboration with the physician, patient and UM professional in accordance with the physician orders and patient needs and follows the admission process. Evaluates, plans and treats patients in an effective physical therapy program utilizing diagnostic, muscle, nerve, joint and functional ability .. read more
Spine Search is seeking an experienced Billing Specialist to join a leading pain management practice in Somerset, NJ. This is a full time, Monday-Friday position offering comprehensive benefits.
*JOB DESCRIPTION: *Follows up on rejected claims and overdue patient and insurance balances using Explanation of Benefits forms and reports. Builds and maintains relationships with specified payors. Manages patient A/R, statement processing, and considers accounts for outside collections.
*Responsibilities and Duties*
*Account Follow Up*
* Works with patients, following up on outstanding statements.
* Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes"
* Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims
* Uses payor policy manuals (often found online) to support completion of assigned tasks
* Responds to written and telephone inquiries from insurance companies
* Manages relationships with personnel from assigned carriers
* Meets with Office Manager regularly to discuss and solve reimbursement and insurance follow up problems
* Calls carriers to appeal payments that do not match contractual agreement; notifies Office Manager of payors for which this is a consistent problem
* Asks physician to provide appeal language for denials or unacceptable payment
* Processes requests for insurance refunds, and submits to Office Manager for approval
* Responds to written and telephone inquiries from patients regarding their insurance questions
*Claims Filing*
* Processes all paper and electronic claims for assigned carriers—verifies completeness of paper insurance claim information before mailing
* Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed
* Follows up on rejected claims the day that the rejected EOB is received
*Qualifications and Skills*
* Minimum eighteen months experience working in a physician group practice billing department
* Familiar with CPT and ICD-10-CM coding for _orthopedic surgery, podiatric_ _surgery, and pain management procedures._
* Familiarity with both facility (ASC/Hospital) billing and professional (Office) billing
* Comfortable using email and interacting with Internet applications
* Knowledge of practice management and word processing software
* Able to establish good relationships with insurance companies
* Good analytical skills and an affinity for detail
* Ability to read and analyze accounts receivable and payor reports
* Pleasant speaking voice and demeanor
* Neat, professional appearance
* Strong written and verbal communication skills
* Accurate and fast data entry skills
* Bilingual (Spanish) candidates preferred, but will consider others with solid experience
Experience:
* Insurance Billing & Collections: 2 years (Required)
* Patient Billing & Collections: 1 year (Required)
* Ambulatory Surgical Center Billing & Collections: 2 years (Preferred)
#INDLP
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday
Experience:
* Medical billing: 2 years (Preferred)
Language:
* Spanish (Preferred)
Work Location: In person
*JOB DESCRIPTION: *Follows up on rejected claims and overdue patient and insurance balances using Explanation of Benefits forms and reports. Builds and maintains relationships with specified payors. Manages patient A/R, statement processing, and considers accounts for outside collections.
*Responsibilities and Duties*
*Account Follow Up*
* Works with patients, following up on outstanding statements.
* Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes"
* Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims
* Uses payor policy manuals (often found online) to support completion of assigned tasks
* Responds to written and telephone inquiries from insurance companies
* Manages relationships with personnel from assigned carriers
* Meets with Office Manager regularly to discuss and solve reimbursement and insurance follow up problems
* Calls carriers to appeal payments that do not match contractual agreement; notifies Office Manager of payors for which this is a consistent problem
* Asks physician to provide appeal language for denials or unacceptable payment
* Processes requests for insurance refunds, and submits to Office Manager for approval
* Responds to written and telephone inquiries from patients regarding their insurance questions
*Claims Filing*
* Processes all paper and electronic claims for assigned carriers—verifies completeness of paper insurance claim information before mailing
* Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed
* Follows up on rejected claims the day that the rejected EOB is received
*Qualifications and Skills*
* Minimum eighteen months experience working in a physician group practice billing department
* Familiar with CPT and ICD-10-CM coding for _orthopedic surgery, podiatric_ _surgery, and pain management procedures._
* Familiarity with both facility (ASC/Hospital) billing and professional (Office) billing
* Comfortable using email and interacting with Internet applications
* Knowledge of practice management and word processing software
* Able to establish good relationships with insurance companies
* Good analytical skills and an affinity for detail
* Ability to read and analyze accounts receivable and payor reports
* Pleasant speaking voice and demeanor
* Neat, professional appearance
* Strong written and verbal communication skills
* Accurate and fast data entry skills
* Bilingual (Spanish) candidates preferred, but will consider others with solid experience
Experience:
* Insurance Billing & Collections: 2 years (Required)
* Patient Billing & Collections: 1 year (Required)
* Ambulatory Surgical Center Billing & Collections: 2 years (Preferred)
#INDLP
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday
Experience:
* Medical billing: 2 years (Preferred)
Language:
* Spanish (Preferred)
Work Location: In person
