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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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