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Billing Specialist

Murfreesboro, TN 37129

Posted: 03/05/2024 Employment Type: Permanent Category: Healthcare Job Number: 260550 Pay Rate: $20- $30

Job Description

Job Overview:
We are seeking an experienced and detail-oriented Orthotic Prosthetic (O&P) Biller to join our team remotely. As a remote biller, you will be responsible for managing the billing and reimbursement processes for orthotic and prosthetic services, ensuring accuracy, compliance, and timely payment.

Key Responsibilities:
  1. Billing and Coding:
    • Accurately code and submit claims for orthotic and prosthetic services.
    • Utilize appropriate billing codes and modifiers to maximize reimbursement.
    • Stay updated on coding changes, insurance policies, and reimbursement rates.
  2. Claim Submission and Follow-up:
    • Submit claims to insurance companies electronically or by paper as required.
    • Monitor and follow up on outstanding claims to ensure timely reimbursement.
    • Resolve billing discrepancies and denials promptly and efficiently.
  3. Verification and Authorization:
    • Verify patient insurance coverage and eligibility for orthotic and prosthetic services.
    • Obtain necessary pre-authorizations and ensure documentation meets insurance requirements.
  4. Documentation and Compliance:
    • Review patient records to ensure accurate documentation supporting billed services.
    • Ensure compliance with billing regulations, including HIPAA and other relevant guidelines.
  5. Communication:
    • Communicate with insurance companies, patients, and healthcare providers to address billing inquiries and resolve issues.
    • Collaborate with the orthotic and prosthetic team to gather necessary information for billing purposes.
  6. Reporting:
    • Generate and analyze reports related to billing, reimbursement, and accounts receivable.
    • Provide regular updates on the status of outstanding claims and reimbursement trends.
  7. Credentialing:
    • Assist in the credentialing process for orthotic and prosthetic services with various insurance providers.

Job Requirements

Qualifications:
  • Proven experience as an Orthotic Prosthetic Biller.
  • Knowledge of CPT, HCPCS, and ICD-10 coding.
  • Familiarity with billing software and electronic health records (EHR).
  • Strong understanding of insurance policies and reimbursement procedures.
  • Excellent attention to detail and organizational skills.
  • Effective communication and problem-solving abilities.
  • Remote work experience is a plus.
How to Apply:
If you are a dedicated Orthotic Prosthetic Biller looking for a remote opportunity, please submit your resume and cover letter detailing your relevant experience. We welcome individuals who thrive in a remote work environment and are passionate about contributing to the efficient billing operations of our orthotic and prosthetic services.

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About Murfreesboro, TN

Ready to explore exciting job opportunities in the bustling city of Murfreesboro, Tennessee? Nestled in the heart of Rutherford County, this vibrant locale offers a perfect blend of small-town charm and big-city amenities, making it a fantastic place to grow your career. From the historic Oaklands Mansion and Stones River National Battlefield to the lively Main Street lined with local eateries serving up delectable Southern cuisine, Murfreesboro is a hub of culture and innovation. With art galleries like the Center for the Arts and entertainment venues like the Performing Arts Center attracting top talent, there's no shortage of opportunities to thrive in this dynamic community. Take the first step towards an exciting career by exploring our job listings in the Murfreesboro area today!