Medical Billing Specialist - Remote Job at Orthos Inc, Mishawaka, IN

  • Orthos Inc
  • Mishawaka, IN

Job Description

Are you ready for new challenges and new opportunities?

Join our team!

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This is a remote opportunity; however, candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois, Indiana, Michigan, Missouri, North Carolina, Nevada, Ohio, Oregon, Pennsylvania, Tennessee, or Texas.

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.

Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes

Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts

Oversee claims appeals and reviews; review claims aging status and follow up on open claims

Answer phones, patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy

Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology

Participate in professional development efforts to stay current with health care best practices and trends

Actively participate in the company’s efforts to create innovative data and analytics solutions for the modern orthopedic business office

Other duties as assigned

Required Skills:

Minimum of 2+ years of medical billing and accounts receivable follow-up experience preferred

Orthopedic billing experience strongly preferred

Knowledge of commercial insurance, Medicare, Medicaid, worker’s compensation, and managed care payers

Understanding of EOBs, denials, appeals, adjustments, authorizations, and payment posting processes

Ability to interpret payer guidelines and identify billing discrepancies or claim issues

Familiarity with CPT, ICD-10, and HCPCS coding terminology

Experience working within EMR/EHR systems and insurance payer portals

Strong understanding of claim aging, denial management, and timely filing requirements

Ability to prioritize workload and manage multiple accounts efficiently in a high-volume environment

Strong attention to detail and organizational skills

Excellent written and verbal communication skills

Ability to work independently while maintaining productivity and accountability in a remote work environment

Proficient computer skills including Microsoft Outlook, Excel, and Teams

Strong problem-solving and critical thinking skills

Ability to maintain confidentiality and comply with HIPAA regulations

Dependable attendance, responsiveness, and follow-through on assigned responsibilities

Ability to adapt to changing workflows, client needs, and process improvements

Preferred Skills:

CPC, CPB, or other AAPC certification preferred but not required

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Job Tags

Permanent employment, Contract work, Work at office

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