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Billing Specialist

Tracy, CA 95304

Posted: 03/19/2024 Employment Type: Permanent Category: Healthcare Job Number: 260590 Pay Rate: $20 - $30

Job Description

Position Overview: Our Client is seeking a highly skilled and motivated individual to join our team as a Remote Orthotics & Prosthetics Insurance and Billing Specialist. This position is ideal for someone with a strong background in medical billing, particularly in the field of orthotics and prosthetics. The successful candidate will play a crucial role in ensuring accurate and timely insurance claims processing, reimbursement, and overall revenue cycle management.

Responsibilities:
  1. Insurance Verification:
    • Verify insurance coverage and eligibility for orthotics and prosthetics services.
    • Confirm and update patient information, ensuring accurate and up-to-date records.
  2. Claims Submission:
    • Prepare and submit insurance claims for orthotics and prosthetics services.
    • Review claims for accuracy, completeness, and compliance with insurance guidelines.
    • Resolve any issues or discrepancies in a timely manner to facilitate prompt reimbursement.
  3. Billing and Coding:
    • Assign appropriate medical codes (CPT, ICD-10, HCPCS) to ensure proper billing and reimbursement.
    • Stay informed about changes in coding guidelines and regulations related to orthotics and prosthetics.
  4. Reimbursement Analysis:
    • Monitor and analyze reimbursement trends to identify opportunities for process improvement.
    • Work collaboratively with other departments to address and resolve any billing-related challenges.
  5. Denials Management:
    • Investigate and appeal denied claims to maximize reimbursement.
    • Implement strategies to reduce the frequency of claim denials.
  6. Communication:
    • Communicate effectively with insurance providers, patients, and internal team members.
    • Provide clear and detailed explanations to patients regarding their insurance coverage and billing inquiries.
  7. Documentation and Compliance:
    • Maintain accurate and organized documentation of all billing and insurance-related activities.
    • Ensure compliance with relevant healthcare regulations and standards.

Job Requirements

Qualifications:
  • Proven experience in medical billing, specifically in orthotics and prosthetics.
  • In-depth knowledge of insurance verification, claims submission, and reimbursement processes.
  • Proficiency in medical coding (CPT, ICD-10, HCPCS) for orthotics and prosthetics.
  • Strong problem-solving skills with the ability to resolve billing issues and denials.
  • Excellent communication skills, both written and verbal.
  • Familiarity with healthcare regulations and compliance requirements.
  • Ability to work independently and efficiently in a remote environment.
  • Experience with billing software and electronic health records (EHR) systems.

If you are a detail-oriented and experienced professional in orthotics and prosthetics billing, and you thrive in a remote work setting, we invite you to apply for this challenging and rewarding position. Join us in making a positive impact on patient care through effective insurance and billing practices.

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About Tracy, CA

Discover exciting job opportunities in the vibrant area surrounding Tracy, California! With its close proximity to the beautiful San Joaquin River and stunning wineries of the Livermore Valley, Tracy offers a unique blend of small-town charm and big-city amenities. This bustling region boasts a growing economy, making it an ideal location for professionals seeking career advancement. From exploring the picturesque Carnegie State Vehicular Recreation Area to enjoying the local cuisine at beloved spots like the Hula's Island Grill & Tiki Room, Tracy has something for everyone. Take the next step in your career journey with our enticing job listings and unlock the endless possibilities this thriving area has to offer!