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Medical Billing Specialist

Job Details

Excelsior Orthopaedics Amherst NY - Amherst, NY
Full Time
High School
$16.50 - $29.70 Hourly

Job Description

*Hybrid Position* 

Busy orthopedic practice offering challenging work; position responsible for adding charges into billing system, generating insurance claims and patient statements; posting payments, follow up on charges, and answering internal and external account inquiries.

Duties and Responsibilities:

•    Research all information needed to complete billing process including obtaining patient insurance information and charge detail from providers.
•    Enters and itemizes charge information into billing system.  
•    Assists with coding diagnosis or procedures on charge.
•    Ability to process and transmit billing to insurance company.
•    Post payments and applies credits to patient accounts.
•    Answer telephone and provides information as requested.
•    Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim.
•    Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required.
•    Participate in Accounts Receivable activities on past due accounts as directed by Billing Manager
•    Generate periodic reports and statistics regarding status of patient’s accounts and receivables. 
•    Maintain patient confidentiality.
•    Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and CPT/ICD10 codes

Job Qualifications

  • Associates degree preferred; HS diploma or GED required 
  • Proven experience (2+ years) as a medical billing specialist or in a similar role. 
  • EMR experience required, MEDENT preferred 
  • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams. 

Physical Demands:

  • Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment 
  • Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff 
  • Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment  
  • Occasional standing and walking required