On-Site Position - Allentown, PA
Summary: The billing specialist is responsible for coordinating patient and insurance billing for our multi-specialty orthopaedic group and providing patient care excellence by performing the following duties.
Essential Functions:
- Responsible for following entire revenue cycle from charge entry through insurance and patient payments.
- Answers telephone, and responds to inquiries from insurance carriers, patients and co-workers.
- Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
- Contacts patients regarding collection of outstanding balances.
- Establishes payment plans to help patients manage payment of bills.
- Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
- Retrieve messages from voicemail and forward to the appropriate personnel.
- Operates computer to process, store, and retrieve health information.
- Other duties may be assigned.
Qualifications:
- High school diploma or general education degree (GED).
- Two to 3 years related billing experience; or equivalent combination of education and experience.
- Medicare experience preferred.
- Detail oriented, outgoing and professional
- Previous medical billing and surgery billing experience required
- Experience with billing program software preferred
- Knowledge of ICD-10, CPT, HCPCS codes and documentation guidelines
- Working knowledge of third-party insurance
- Effective communication skills
- Ability to work independently and as part of a team
- Prior customer service representative experience beneficial