As members of the DOC team, we are instrumental in bringing hospitality to healthcare. Come join DOC as an Orthopedic Billing Specialist for our service driven organization.
As a Billing Specialist, your lead outcomes will include:
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Ensure CPT and ICD10 coding are supported by clinical documentation
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Lead efforts in reviewing accounts with outstanding balances
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Manage work flow of the assigned accounts and prioritize the issues to meet deadlines for filing and reimbursement
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Meet monthly performance metrics
As a Billing Specialist, your core responsibilities will include:
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Review CPT, ICD-10 and modifier coding for accuracy
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Submit EDI claims and work clearinghouse rejection reports
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Document transactions to maintain adequate audit trail
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Review and resolve accounts with credit balances. Request refunds and/or adjustments as necessary
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Maintain work operations by following policies and procedures; reporting compliance issues
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Update job knowledge by participating in educational opportunities
As a Billing Specialist, DOC requires the following competencies:
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Behaviors and standards that model DOCs values and delivers a service experience that is unrivaled
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Coding Certification Required
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Minimum of 1 year Orthopedic billing experience
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Workers’ Compensation Knowledge/Experience
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Solid understanding of PM/EMR systems
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Extensive knowledge of health insurance billing and processes, provider plans and payer contracts
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Ability to work independently
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Proactive leadership
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Active listening skills
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Behavior that is enthusiastic
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Enjoy working as part of a team
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Flexibility/Adaptability