Billing Specialist at Boston Orthotics & Prosthetics

OP Specialty Bracing is growing, and we believe our team is the key to our success. We are hiring a Billing Specialist to join our team. If you are a motivated, caring individual who wants to make a difference in the lives of children, we encourage you to apply today!

At OP Specialty Bracing, kids are at the heart of everything we do. Our cause is simple: to improve the lives of children with orthopedic conditions and support their families every step of the way. From fractures and clubfoot to cerebral palsy, scoliosis, plagiocephaly, limb loss, and more, our certified clinical team treats the whole child in partnership with their care team. Helping kids is what we do; changing their lives is how we make a difference. OPSB offers specialized pediatric clinics across the country, including in major children’s hospitals, ensuring that every child gets top-notch, kid-focused care.

Our team is constantly developing new, cutting-edge solutions in pediatric orthotics and prosthetics, because we believe every child deserves the very best. At OP Specialty Bracing, pediatric care is not just something we do—it’s our passion, our purpose, and our promise to the kids we serve.

JOB DESCRIPTION:

Handle all functions related to Patient Billing including:

• Authorization of benefits
• Acquisition of all necessary claim documentation
• Claim submission
• Collections
• Follow through on outstanding claims and cash applications
• All actions relating to delinquent accounts, collections agencies, special adjustments, and/or write offs

Responsibilities:

• Collect all the information necessary to work with insurance claims and patient billing.

• Research, correct, and re-submit rejected and denied claims.

• Research, administer and resolve any billing discrepancies; resubmit rejected and denied claims if necessary. Works with payers to resolve outstanding claims issues. Ensures the resolution of any collections issues for self-pay balances.

• Ensure patient demographic and insurance information is input correctly into the Athena billing system.

• Ensure patient encounter information is input and coded correctly.

• Bill patients for their responsible portions of claim.

• Answer patient questions regarding charges.

• Prepare appeals to denied claims.

• Understand Copays, Coinsurance, & Deductibles. Requirements:

• Strong math and data entry skills.

• Knowledge of insurance process, medical terminology and coding.

• Knowledge/experience working with billing and payment cycles for medical accounts, O&P experience highly preferred.

• Solid experience working with Medicare/Medicaid, private Insurance, and insurance verification, authorization and reimbursement.

• Strong organizational, problem solving and analytical skills.

• Proficiency with MS Office (Word, Excel), spreadsheets and medical billing software.

Benefits Offered for Eligible Employees:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Long & Short-Term Disability
• Life Insurance and AD&D
• Retirement Savings Plan
• Paid Time Off (PTO) & Holidays

Equal Opportunity Employer

OPSB is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

The above statement reflects the general details necessary to describe the principal functions of the occupation described and shall not be construed as a detailed description of all the work requirements that may be inherent in the occupation.