BILLING SPECIALIST

Boston O&P • Full-time • $45k - $46k / year • 2w ago

OrthoPediatrics Specialty Bracing:

As a leader in specialized pediatric orthotics, we take great pride in having the industry's top clinicians, technicians, and administrative staff, led by an executive team dedicated to advancing the orthotics and prosthetics profession. We have recently joined forces with OrthoPediatrics as their Specialty Bracing division to help more KIDS!

Our Vision:

To be recognized as the premier provider of pediatric orthotic and prosthetic services and products in the United States.

Our team believes in respectful truth and transparency when interacting with patients, referral sources, and our own team members. We hold ourselves accountable for providing only the best products and services to our patients. Our team is engaged and committed to continuous improvement of our products, our patient care, and ourselves.

JOB DESCRIPTION

Handle all functions related to Patient Billing including:

authorization of benefits

acquisition of all necessary claim documentation

claim submission

collections

follow through on outstanding claims and cash applications

all actions relating to delinquent accounts, collections agencies, special adjustments, and/or write offs

Responsibilities:

• Collect all the information necessary to work with insurance claims and patient billing.

• Research, correct, and re-submit rejected and denied claims.

• Research, administer and resolve any billing discrepancies; resubmit rejected and denied claims if necessary. Works with payers to resolve outstanding claims issues. Ensures the resolution of any collections issues for self-pay balances.

• Ensure patient demographic and insurance information is input correctly into the Athena billing system.

• Ensure patient encounter information is input and coded correctly.

• Bill patients for their responsible portions of claim.

• Answer patient questions regarding charges.

• Prepare appeals to denied claims.

• Understand Copays, Coinsurance, & Deductibles. Requirements:

• Strong math and data entry skills.

• Knowledge of insurance process, medical terminology and coding.

• Knowledge/experience working with billing and payment cycles for medical accounts, O&P experience highly preferred.

• Solid experience working with Medicare/Medicaid, private Insurance, and insurance verification, authorization and reimbursement.

• Strong organizational, problem solving and analytical skills.

• Proficiency with MS Office (Word, Excel), spreadsheets and medical billing software.

Benefits Offered for Eligible Employees:

Medical Insurance
Dental Insurance
Vision Insurance
Long & Short-Term Disability
Life Insurance and AD&D
Retirement Savings Plan
Paid Time Off (PTO) & Holidays

Equal Opportunity Employer

OPSB is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

The above statement reflects the general details necessary to describe the principle functions of the occupation described and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.

M-F 8-5

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