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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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