Orthopedic Accounts Receivable / Collections Specialist

• The Billing / Collections Representative provides telephone customer service in a high-volume environment by responding to patient billing questions as well as working payor denials and collections on patient accounts.
• Interpretation of Explanation of Benefits (EOB); responding to billing questions or requests for information
• Collecting patient balances
• Working denials from insurance companies and managing the Physician’s Accounts Receivables by handling patient and insurance account follow-up,
• Providing related telephone customer service to patients and insurance carriers with a high volume of incoming and outgoing telephone calls.
• Responding to questions about an insurance company Explanation Of Benefits (EOB) - responding to requests for information, handling patient and insurance account follow-up, grievance process if payment is denied or is less than the amount billed.

Benefits:

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

• Knowledge of medical billing/collection practices.
• Knowledge of medical practices, terminology and organization services.
• Knowledge of traditional insurance plans, HMO/PPO’s, Medicare, Medicaid, and Worker’s Comp.
• Working knowledge of anatomy and physiology, and medical terminology.
• Knowledge of ICD10-CM and CPT-4 manuals to research/verify diagnosis codes (ICD-10) and/or procedure codes (CPT-4).
• Knowledge of computerized billing, EMR/EPM system. Google workspace and Athena experience a plus!
• Excellent written, verbal communication and customer relations a must.

Education: High school diploma or equivalent. Some college preferred.

Experience: Minimum one year of medical billing / collections experience. Orthopaedic experience preferred.

Job Type: Full-time

Schedule:

8AM - 5PM |Monday to Friday

On site: Palm Beach Gardens location