Billing Specialist at ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC

Description

Position Summary: The billing specialist is responsible for ensuring all billing is done accurately and timely for all services offered by ASMO. The billing specialist will also assist the billing manager when applicable with researching and setting up billing for new procedures or services that are added.  

Essential Functions include but are not limited to:

• Responsible for follow up and timely resolution of outstanding AR accounts as directed.
• Process insurance payments and prompt follow up and resolution of any payment issues.
• Interpret and process explanation of benefits.
• Research, correct, and resubmit rejected and denied claims.
• Prepare appeals for denied claims as necessary.
• Work aging accounts based on insurances assigned.
• Maintain complete and accurate billing and accounts receivable records.
• Prepare Medicare, Medicaid, private payer and patient remittances for data entry.
• Establish and maintain positive working relationships with internal and external customers.
• Ability to accurately review and verify documentation of procedures.
• Excellent phone etiquette to field patient billing phone calls.
• Knowledgeable of office equipment functions-faxing, scanning, etc.
• Ability to effectively train new staff members.
• Handle and maintain the confidentiality of patient and organizational information at all times.
• Builds and promotes a culture of service excellence and continuous improvement.
• Attendance: works as scheduled and is compliant with Attendance and Tardiness Policy.
• Perform other specific projects related to collections, billing, data entry, and computer operations as required.
• Perform all other duties as assigned.

Qualifications

Education & Qualifications:

• Required: High School graduate or equivalent  
• Preferred: Associates degree; 1-2 years of healthcare insurance claim resolution