Medical Billing and Collections Specialist

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Billing/Collections Specialist

Position Overview:

As a billing/collections specialist at OrthoNOW, you will drive day-to-day processes related to billing & collections including driving data entry, customer service, and reporting. This role involves verifying insurance eligibility, processing patient payments, submitting & following up on claims, and handling billing inquiries & collections. You will be expected to support our patients throughout the claims process to make them feel well informed and comfortable. Billing/collections specialists will show a strong attention to detail to confirm all steps in the billing process are conducted efficiently and effectively.

Reporting overview:

This role will report directly to the Administrator, working closely with Front Desk team members as well. This role has no direct reports.

Top responsibilities:

• Standard claims processing:
• Review and process incoming claims filed either electronically or on paper
• Edit and approve claims for filing either electronically or on paper
• Determine the cause of Explanation of Benefit denials and pull supporting data from patient charts and billing system
• Work with insurance companies to resolve issues related to outstanding claims
• Assist with posting insurance payments, denials, and adjustments
• Review accounts receivable and follow-up with patients and insurance companies on outstanding balances
• Track the status of submitted claims and follow up on unpaid, rejected, or denied claims
• Engagement & problem solving:
• Appeal denied claims and provide necessary documentation for reconsideration
• Respond to customer calls and written correspondence on issues related to billing
• Provide support to the front-end staff and clinicians on billing issues
• As needed, assist with audits by providing documentation and responding to inquiries related to billing and coding
• Core systems & processes:
• Attend regular team meetings to align on best practices and key goals
• Attend 1-on-1 performance reviews with the Administrator
• Prepare periodic billing and revenue cycle reports for management review
• Share key questions, pain points, inefficiencies, and opportunities for improvements with the Administrator to optimize core billing processes

Qualifications:

• 2+ years of medical billing experience
• Extensive knowledge of the medical billing systems, medical coding, and basic medical terminology
• Competent with common PC applications including Internet, email, and Microsoft office
• Basic computer skills (e.g., type 25 words per minute with 96% accuracy) including familiarity with electronic medical records
• Detail-oriented with excellent interpersonal communication skills
• Ability to work all assigned shifts (could include day, evening, and weekend hours as needed)
• High school graduate or equivalent

Job Type: Full-time

Pay: From $22.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical collection: 2 years (Required)
• Medical billing: 2 years (Required)
• Medical office: 2 years (Required)
• Aging reports: 2 years (Required)

Language:

• Spanish (Preferred)

Ability to Commute:

• Doral, FL 33166 (Required)

Work Location: In person