BILLING SPECIALIST

Location:                              6077 Primacy Parkway, Suite 140, Memphis, TN 38119

Work Days/Hours:             Full Time    Monday – Friday    

Qualifications:

  • Minimum of two (2) years of medical billing/coding/collection experience – Orthopedic preferred.
  • High school diploma or equivalent.
  • Advanced knowledge of coding (CPT, HCPS, and ICD-10), billing, insurance guidelines, medical terminology, and the ability to read / comprehend medical dictation and EOBs.
  • Knowledge of Health Insurance carriers and the ability to explain benefits and limitations.
  • Ability to communicate medical benefits with patients and provide expectations for payment.  
  • Ability to follow up on claims rejections and denials and resolve.
  • Self-motivated individuals with the ability to multi-task and work independently to achieve a high level of accuracy and productivity.
  • Exceptional customer service and phone etiquette required.
  • Experience with data entry, Microsoft Outlook and Excel required.
  • Ability to work with a variety of personnel including physicians, medical assistants, and other office staff to complete necessary tasks, to meet/ exceed goals while maintaining office protocols.

 

Duties:

  • Composing routine correspondence letters, retro authorizations, appeals etc.
  • Responding to inquiries by phone and email about claims and insurance guidelines
  • Identify problem accounts and trends with payors; investigate and correct errors; track and resolve past due claims.
  • Ability to control escalated patient situations in a controlled environment while ensuring patient satisfaction.
  • Promote positivity and team building to achieve department goals.
  • Will be required to work offsets, refunds and unreconciled balances.
  • Committed to successfully completing assignments provided by Supervisor or Revenue Cycle Manager.

 

Qualified applicants please contact Donelle Morrison via email dmorrison@orthosouth.org