Job Information
Excelsior Orthopaedics Group Workers Compensation Billing Specialist in Amherst, New York
Hybrid Positions
Experience with Workers' Compensation Billing is needed
Growing orthopaedic practice offering challenging work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.
Duties and Responsibilities:
Research all information needed to complete billing process including obtaining charge information form providers
Enters and itemizes charge information into billing system and produces account
Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge
Ability to process and distribute billing
Post payments and applies credits to patient accounts
Answer telephone and provides information as requested
Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim
Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required
Participate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing Manager
Generate periodic reports and statistics regarding status of patients accounts and receivables.
Maintain patient confidentiality
Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes
Job Qualifications
Associates degree preferred; HS diploma or GED equivalent required
2+ years medical billing experience required
EMR experience required; MEDENT experience preferred
Position requires manual and finger dexterity and hand-eye coordination
Involves standing, sitting, and walking
Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required
2-3 years of experience in Workers’ Compensation Billing and AR collections; preferably in physician office setting.
Medical Appeals and Denials: 2-3 years. (Required)
Orthopedic medicine billing knowledge and experience (Preferred)
Working knowledge of new York Workers Compensation Medical Treatment Guidelines
Knowledge and experience with OnBoard, Carisk. (Preferred)