Medical Billing Specialist - Excel Orthopaedic Specialists

At Excel our mission is simple: to provide the very best in medical services for those who come to us with orthopedic problems and injuries. Come join us and help make a difference in our patient's lives. This position includes:

• Working at Excel as a medical billing specialist, your primary responsibilities will be billing daily insurance charges for services rendered by physical and occupational therapists in addition to preparing claim data according to payer regulations with a goal to producing clean claims.
• Verify and process claims through our clearinghouse and payer systems on a timely basis.
• Follow up on unpaid claims by communicating with insurance companies to resolve claim issues.
• Work denials and rejections, prepare appeals and process corrected claims for resubmission within payer guidelines to maximize reimbursement.
• Post insurance payments and ensure that accurate payment has been received, knowledge of electronic posting is required along with the ability to interpret an (EOB), explanation of benefit.
• A strong knowledge of Medicare and Blue Cross insurance guidelines is a plus.
• Establish payment arrangements with patients and implement payment plans.
• Monitor collection list by reviewing aged patient accounts and determine if account should be transferred to collections.
• Reconcile daily batch payments at end of day to ensure totals posted are accurate, identify any errors and correct discrepancies.
• Process insurance and patient refunds as required.
• The importance of staying up to date with the latest billing and coding regulations is vital, specifically relating to physical & occupational therapy.
• Effective communication skills are essential in this role as you will need to work closely with patients, therapists, healthcare providers and insurance companies to resolve any billing issues.
• Attention to detail and strong organizational skills are important to ensure claims are processed accurately.
• Strong computer skills and knowledge of eClinicalWorks and MS Office is a plus.
• Salary Commensurate with Experience

• We are looking for a candidate with 2-4 years of medical billing experience who is organized, detail-oriented, dependable, and self-motivated.
• This position requires excellent verbal and written communication skills with patients, staff and insurance companies, with the ability to multi-task within a busy billing office.
• This position is located in the office, this is NOT a remote-work position.
• High School diploma required, Bachelor's degree or billing certification preferred
• Knowledge of medical terminology required, physical and occupational therapy terminology in an Orthopaedic setting is a plus.

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