OrthoNebraska · 3 weeks ago
Billing and Recovery Specialist (Part-Time)
Omaha, NE
Part-time
Onsite
Entry, Mid Level
2+ years expOrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. The Billing Specialist is responsible for billing professional and institutional claims to the insurance company, resolving billing discrepancies, and working edits within an EMR system.
Health CareHospitalMedical
Responsibilities
The Billing Specialist is primarily responsible for preparing and submitting patient insurance claims, tracking claim statuses and resolving any billing discrepancies by following up on claim edits and claim rules within the system. The position needs a customer-oriented individual with a meticulous eye for details
Evaluate information for processing according to office guidelines and procedures
Collaborating with third party institutions and other team members to resolve billing inconsistencies and errors
Enter assigned data into the information system in accordance with policy and procedure
Conduct routine accuracy checks of selected data to ensure completeness and accuracy of data
Effectively utilize time to provide efficient customer service
Collect, record and audit data to ensure timely and accurate processing of paperwork to maximize reimbursement and achieve improved customer satisfaction
Actively participate in achieving team goals, setting priorities, seizing opportunities before being asked, and motivating oneself and others in order to maximize productivity
Maintain a high level of knowledge regarding government compliance regulations as well as third-party billing requirements and regulations
Maintain up-to-date knowledge of all business office policies and procedures, team goals, department objectives and hospital strategic plans to maximize the decision-making process
Demonstrate working knowledge of billing functions on the information system to continue to reduce receivables
Evaluate contractual postings to ensure proper billing to secondary payers
Maintain current knowledge of private, state, and federal contractual agreements, to ensure proper posting of payments and adjustments
Review and initiate correspondence with third party payers to resolve discrepancies
Identify, document and report billing system errors
Demonstrate communication and problem-solving skills by clearly presenting information and options to customers while removing barriers that fail to enhance customer service
Contact third party and/or patients on unpaid account balances to reduce receivables. Resolve patient questions/complaints through written, verbal communication or through financial counseling
Maintain confidentiality to protect patient rights and privacy
Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission
Employee is responsible for all other duties as assigned for which competency has been demonstrated
Qualification
Required
High School Diploma or General Educational Development (GED) required
2+ years of general office experience and billing experience required
Strong communication, including writing, speaking and active listening
Great customer service skills, including interpersonal conversation, patience, and empathy
Good problem-solving and critical thinking skills
In-depth knowledge of industry best practices
Must be able to multi-task with multiple interruptions in a fast-paced environment
Must be able to pass background check
Must be able to complete pre-employment physical and drug testing
Company
OrthoNebraska
OrthoNebraska is a healthcare organization that provides sports medicine, joint replacement and spine care services to enhance health.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2023-08-03Acquired
2023-08-02Private Equity
Leadership Team
Levi J Scheppers
Chief Executive Officer
Brandon W Quindt
Chief Operating Officer
Recent News
InTandem Capital Partners
2024-12-16
Omaha World-Herald
2024-02-19
Omaha World-Herald
2023-12-23
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