Deland | FOA740 W Plymouth AveDeland, FL 32720, USAPay or shift range:Not specifiedDescriptionJOB SUMMARY:Under direct supervision of the Clinic Manager, this position is responsible for assuring timely collection of accounts receivable and insurances, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for physician billing. The ideal candidate would have a strong understanding of medical claims billing. This individual will also be responsible for researching and resolving claims denials, monitor that all denied claims are corrected or appealed, and provide appropriate feedback to management. This employee will enter charges and submit them electronically or via paper to an insurance company or patient. They complete the cycle by up on outstanding charges.RESPONSIBILITIESEnsuring appropriate information is submitted to insurance companies to expedite paymentPreform collection activities, including status check up calls to ensure timely reimbursements, appeals, and account reviewsTake appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appealFollowing up on assigned cases from within the organizationReviewing pre-bill claim holds to verify that the claim goes out clean the first timeComposing appeals to insurance carriers for denied claims, completing denials and rejection reportsWork insurance aging reportsSubmit insurance and patient refunds as neededEducate staff on contracted and non-contracted plans, and which we can acceptPost payments and chargesAbility to navigate insurance, hospital, and other websites to verify benefits or research outstanding paymentsHandle incoming calls for information request from insurance companies within 24 hoursAssisting Financial Counselors when patients have questions regarding claimsCorrects accounts that are billed to incorrect insurance companiesEnsures authorizations are attached to claimsComply with quantity and quality expectations as provided by managementCommunicating with the DeLand Office Manager to advise of trends, issues discoveredAll other duties as assignedEDUCATION AND EXPERIENCEHigh School Diploma or general education degree (GED)2 – 4 years of physician office billing and denial management experience requiredBasic Understanding of ICD10, CPT HCPCSAbility to read and interpret explanation of benefits (EOBs)Knowledge of Medical Assistance, Medicare Part B and commercial insurance productsFamiliar with CMS 1500Basic understanding of medical terminology and anatomy.Excellent communication skills both written and verbalMust be a self-starter that is detail oriented and capable of multi-taskingRequires comprehensive knowledge of computer skills including Microsoft Office SuiteComfortable in a fast-paced working environment of a growing practicePREFFERRED QUALIFICATIONS & SKILLSExperience in a medical center, large health system, or multi-specialty groupAthena experience strongly preferredOrthopaedic Solutions Management is a Drug Free WorkplaceWe are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.Equal Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.#J-18808-Ljbffr