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Orthopedic ONE · 3 weeks ago

Billing Representative, Float

Westerville, OH

Full-time

Onsite

Entry, Mid Level

2+ years exp

Orthopedic ONE is a healthcare company seeking a Billing Representative, Float to provide coverage for staff absences in the Patient Accounts Department. The role involves training new associates and handling various billing and accounts receivable tasks, including charge entry, claims submission, and financial counseling.

Health CareHospitalMedicalTherapeutics

Responsibilities

Completes prior authorization and predetermination for services and durable medical equipment

Completes charge entry in the practice management system

Submits patient statements on a weekly basis and confirms statement count and file upload

Submits claims on a daily basis including verification of electronic claims submission acceptance

Reviews outstanding claims and follows-up with insurance carriers regarding denials for specified claims

Completes payment entry including:

Posts payments to practice management system

Balances batches and runs transaction reports

Creates secondary claims

Post zero pay remittances and denials

Communicates payment denials

Verifies eligibility and provides price estimate information to patients

Set up payment plans

Pre-collect for medical services

Review patient accounts for placement with external collection agencies

Call patients to collect on past due balances

Training new associates ensuring competency in designated job titles

Maintains professional knowledge regarding medical billing, insurance, coding policies and procedures

Special projects and all other duties as assigned

Communicates with patients, insurance carriers and other outside entities in a professional manner

Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc

Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person

Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload

Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance

Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision

Works cooperatively and refrains from participating in negative conversations

Shares knowledge and insights with co-workers in a constructive manner

Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers

Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc

Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents

Provides assistance and support to leadership in implementing policies and procedures as necessary

Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs

Qualification

Medical billing experienceCertified Professional CoderPractice management systemAttention to detailCustomer serviceOral communicationWritten communicationTeamwork

Required

High School Diploma or equivalent required

Minimum of two years of medical billing experience

Ability to work with high volume of work while maintaining attention to detail and accuracy

Excellent oral and written communication skills

Computer skills required to operate practice management system (i.e., use Window operating system, conduct Internet searches, communicate by email, etc.)