Medical Billing Specialist Royal Palm Beach, FL 33411

Company: HCRC Staffing
Location: Boca Raton
Posted on: February 15, 2021

Job Description:

Medical Billing Specialist Royal Palm Beach, FL 33411 Orthopedic Center, PC is looking for a skilled and experienced medical AR specialist who can effectively and aggressively pursue outstanding A/R and consistently generate revenue through professional billing practices and proper and ethical collection efforts. Duties The AR specialist will generally act as an intermediary between our patients and their health insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations. You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments. Proficiency in the following areas is preferred: Knowledge of insurance guidelines including HMO/PPO, Medicare, and other payer requirements and systems. Knowledge of Orthopedic CPT and ICD-10 Coding, as well as modifiers and CCI edits. Understanding various fee schedules, including but not limited to UCR, Medicare allowable rates, PIP, etc. Knowledge and understanding of explanation of benefits (EOB). Effective verbal communication with insurance payers to resolve issues. Ability to write solid appeal letters. Customer service skills for interacting with patients regarding medical claims and payments. Ability to work well in a team environment, ability to prioritize and time manage. Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Knowledge of medical terminology. Competent use of Microsoft Office. Please send resume to Brian Torchin. Brian Torchin / CEO HCRC Staffing

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