Site Billing Specialist - Remote

Benefits:
• Competitive Health & Welfare Benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 1 month of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Wellness Events

Minimum Qualifications: • Minimum two to three years of billing experience in a physician's practice. • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Preferred:
• Prefer prior coding experience with CPC, CCS, RHIT, or RHIA Certification.

Essential Functions
• Maintains productivity and accuracy metrics per department expectations.
• Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Updates and confirms as necessary to allow processing of claims to insurance plans.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Attaches referrals/authorizations to appointments/charges if available.
• Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
• Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance.
• Councils patients face to face when patients have questions or concerns regarding outstanding balances.
• Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
• Completes daily requests and works through obstacles on account balance to ensure maximum reimbursement.
• Identifies and communicates trends and/or potential issues to the management team.
• Follows and maintains all HOPCo policies and procedures, including those specific to billing.
• Other duties as assigned by leadership.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?
• #1 for Orthopedic Practices
• #1 for Healthiest Healthcare Employers
• #3 for Best Healthcare Workplace Culture
• Winner in Best Places to Work

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