Billing Specialist

Northwest Orthopaedic Specialists is seeking a Billing Specialist responsible for the prevention, tracking, and follow-up of denied and/or unpaid claims. The role involves reviewing claims for maximum reimbursement and maintaining productivity in a fast-paced environment.

Responsibilities

• Timely follow up on claim denials, exceptions or exclusions
• Contacting insurance companies to determine reasons claims are unpaid
• Identifying denial trends to help create strategies to prevent denials wherever possible
• File appeals as needed to resolve payer denials and work with payers and monitor appeals in process
• Properly track and document all denial and appeal activity
• Research of payments with missing remit information or misapplied payments
• Ensure that accounts receivable is kept current according to organizational benchmarks
• Adheres to all HIPAA guidelines/regulations
• Other duties as assigned

Skills

• Strong written and oral communication skills
• Knowledge of computer systems and programs
• Excellent customer service skills
• Knowledge of medical terminology and human anatomy
• 1 year experience in medical coding or billing, including experience with denials, CPT and ICD-10
• High school graduate or equivalent

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Basic Life & ADD Insurance
• Long Term Disability Insurance
• Voluntary Short Term Disability Insurance
• Voluntary Life & ADD Insurance
• Health Savings Account
• Employee Assistance Program
• Voluntary AFLAC Options
• Employee Discount
• 401k Employer Match after 1 year
• 401k Profit Sharing after 1 year
• PTO (.0615 per hour paid)
• 7 paid holidays

Company Overview