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Site Billing Specialist – CPC, CCS, RHIT, RHIA Certification
Healthcare Outcomes Performance Co. (HOPCo)Site Billing Specialist in a physician managed company improving patient care in orthopedic medicine. Focused on billing accuracy and managing insurance processes.
About the role
Key responsibilities & impact- Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards.
- Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
- Reviews insurance denials and rejections to determine next appropriate action steps and obtain 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 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 working through obstacles on account balance to ensure maximum reimbursement.
- Identifies and communicates trends and/or potential issues to management team.
- Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office.
- Other duties as assigned by leadership.
Requirements
What you’ll need- High school diploma/GED or equivalent working knowledge preferred.
- Minimum two to three years of billing experience in a physician 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.
- Prefer prior coding experience with CPC, CCS, RHIT or RHIA Certification.
- Knowledge of government provisions and billing guidelines.
- Advanced computer knowledge, including Window based programs.
Benefits
Comp & perks- Normal office environment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingcodingdata abstractionclaims processinginsurance denial managementmedical record reviewreimbursementaccount balance resolutiontrend identificationproblem-solving
Soft Skills
communicationinterpersonal skillscustomer relationship managementteam collaborationpatient counselingresourcefulnessadaptabilityattention to detailtime managementleadership
Certifications
CPCCCSRHITRHIA