- Responsible for ensuring correct coding (modifiers, codes) is submitted for ancillary (physical therapy, DME, home health), clinical and or surgical claims to insurance company as necessary for submission or appeal of correct/clean claims.
- Understands and abides by billing compliance regulations including unbundling, correct use of modifiers etc. Understands concept of unbundling and heeds government regulations.
- Compiles pertinent medical records information, i.e., chart notes, diagnostic imaging reports, op notes, etc. and submits claims (appeals) to insurance companies.
- Reviews and documents insurance and patient correspondence in the system in a timely manner.
- Updates patient information in computer, i.e., insurance information, demographics, etc. when notified of changes by the patient
- Researches accuracy of insurance payments received/posted, accuracy of adjustments when required for billing or fielding billing questions from patients/insurance companies.
- Provides support to verifications, procedure authorizations and patient balance inquiries.
- Is the gatekeeper for clearinghouse messages and correspondence in assistance with Revenue Cycle Manager.
- Maintains payment plans and follow up on past due accounts for patient balances and insurance appeals.
- Works toward reducing AR by reviewing and posting necessary adjustments.
- Conducts audits on posting and collections of clinic batches
- Process refund request according to internal policies in a timely manner.
- Reviews and processes patient refunds
- Assists with AR recovery of patient and insurance collection.
- Other duties as assigned
- Cooperative work attitude toward co-employees, management, patients, visitors, outsourced companies and physicians
- Ability to promote favorable facility image with physicians and general public
- Ability to make decisions and solve problems.
- Ability to analyze and interpret data.
- Ability to research and prepare comprehensive reports/summaries.
- Ability to communicate clearly and effectively in writing and verbally.
- Education: High school graduation or GED or one year of related experience and/or training or an equivalent combination of education and experience.
- Language Ability: Able to read and comprehend simple instructions, short correspondence or memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization. Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Spanish speaking is preferred, but not required.
- Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute ratios, rate and percent and to draw an interpret bar graphs.
- Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
- Computer Skills: Basic computer skill and operational knowledge are preferred.
- Certificates and Licenses: None required. CPC or other coding certification preferred
- Personal Skills: Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus. The ability to work well under pressure and an awareness and understanding of other cultures are also important.
- Supervisory Responsibilities: There are no supervisory responsibilities for this position.
-
Warehouse specialist
1 week ago
BlueWave Ventures Louisville, United StatesWe are looking for a warehouse worker (m/f/d) for a well-known client in Penig. · A professional degree is not required with relevant work experience. · Responsibilities: · Forklift license and current driving experience · Experience with high shelves (approximately 5 meters) · S ...
-
Specialist Calculation
1 week ago
NovaWorks Solutions Jeffersonville, United StatesAbout the Company · Experience the joy of building. This motto applies to both our employees and our customers, and it characterizes the self-image of our construction company. Founded in 1900, our family-owned business is now one of the most powerful and successful construction ...
-
Warehouse specialist
6 days ago
Aurora Ventures Jeffersonville, United StatesAt DB Schenker, you are part of a global logistics network that connects the world. A network that allows you to actively shape your career and encourages you to take new paths. With more than colleagues worldwide, we welcome diversity and grow with the experiences, perspectives, ...
-
Nursing specialist
6 days ago
Apex Ventures Jeffersonville, United StatesCaregiver (m/f/d), as motivated team leader (m/f/d) full-time or with 35 hours per week in Jeffersonville · Are you looking for more responsibility and want to make a difference? Then you are in the right place with our great, diverse team. · Welcome to Bonitas We are an outpa ...
-
Specialist for warehouse logistics
6 days ago
Infinity Systems Louisville, United StatesJob Description · Opportunities at EBÄKO eG in Louisville · At EBÄKO eG, we place a strong emphasis on training and developing motivated individuals. We believe in investing in our future by nurturing talented apprentices who have excellent prospects within our company after grad ...
-
Specialist in Psychiatry and Psychotherapy
1 week ago
Infinity Systems Jeffersonville, United StatesAre you looking for a new challenge? Then we have an exciting opportunity for you. · On behalf of our client, a medical center in the Jeffersonville area, we are currently seeking a specialist in psychiatry and psychotherapy (m/f/d) to join their team as soon as possible. · akut ...
-
NebulaWorks Louisville, United StatesWho we areZECH Security Technology GmbH is a nationwide system integrator that provides customer-oriented solutions for communication, transmission, security, and data networks all in one place. With 15 branches and service locations throughout Germany, they tackle the challenges ...
-
Training as a specialist warehouse clerk
6 days ago
Sapphire Enterprises Jeffersonville, United StatesTraining as a Warehouse Specialist (m/f/d) 2024 · Industry · Training/Dual Studies · Employment Type · Training/Dual Studies · Location · Naila · About Us · The Geis Group, headquartered in Bad Neustadt a.d. Saale, is a global full-service logistics provider with over 6,400 emplo ...
-
Stellar Innovations Louisville, United StatesAre you a meat lover in Louisville? · Is meat your passion?We will teach you how to properly process, care for, and inspect meat and sausage products. · Half the sale is in the presentation: We will show you how to do it. · You will soon be able to advise customers on meat and s ...
-
Apex Ventures Clarksville, IN, United States FreelanceAt Bicycle XXL Meinhövel, we have over 70 years of experience and tradition. Today, our team consists of over 150 cycling enthusiasts. Our inventory includes approximately 20,000 bicycles, high-quality accessories, and the latest clothing highlights for both leisure riders and th ...
-
Social Pedagogical Specialist
2 weeks ago
Cascade Enterprises New Albany, IN, United States Freelance"Building the foundation for a professional future, brick by brick." · BRICKS supports individuals in their professional development and promotes self-help. · We are currently seeking a social pedagogue for our location in New Albany, IN to join our team in a permanent and exciti ...
-
Aurora Innovations Louisville, United StatesJob in Basel: Your responsibilities: * Instruction of new employees and apprentices * Ordering/distribution of cleaning supplies and consumables * Other tasks assigned by the group leader of housekeeping and/or the head of housekeeping * Daily cleaning tasks, maintenance and inte ...
-
Quantum Ventures Louisville, United StatesAre you ready to shape the future with LIS GmbH in Louisville? Do you value flexible working hours and a friendly, collegial work atmosphere in a highly motivated team? Then you've come to the right place. · LIS GmbH is a medium-sized, owner-managed company and one of the leading ...
-
Gerontopsychiatric nursing specialist
1 week ago
Horizon Ventures Mockingbird Valley, United StatesAre you passionate about helping people in your nursing profession and value joy in your work? · ▸ If respectful interaction in the workplace is important to you · ▸ If you are looking for a strong team and a good working atmosphere · ▸ If appreciation and recognition motivate yo ...
-
Specialist in Orthopedics
1 week ago
Stellar Innovations Maryhill Estates, United StatesMaryhill Estates is looking for a dedicated specialist in orthopedics (m/f/d) with a focus on hip and knee endoprosthetics at our location in 63739 Aschaffenburg. This is a full-time or part-time position with a flexible time account for overtime. The start date is negotiable, pr ...
-
Pedagogical specialist/educator
2 weeks ago
Crimson Technologies Seneca Gardens, KY, United States Freelance**Join our team - we are looking for you for our nursery group in Seneca Gardens, KY** · **Job Description**: · - Caring, educating and nurturing our children in the nursery and/or kindergarten age group · - Providing nursing and household care · - Participating in internal team ...
-
Specialist in Gynecology and Obstetrics
6 days ago
Infinity Ventures Brownsboro Village, United StatesTeaching Hospital · Location: · Brownsboro Village area · Employer: · For a hospital providing basic and standard care with over Apply nowbeds, I am currently seeking a specialist in gynecology and obstetrics (m/f/d) to start as soon as possible. · The hospital is located in the ...
-
Training for nursing specialist
6 days ago
Horizon Ventures Rolling Fields, United StatesDo good at Rolling Fields with Lafim-Diakonie for the elderly. We are looking for you to join our Social Station in Wittenberge, located at Perleberger Straße 24 in 19322 Wittenberge. We will train you to become a certified nursing professional (m/f/d) with a degree recognized th ...
-
Medical Specialist Field Service
2 weeks ago
Redwood Ventures Seneca Gardens, KY, United States Freelance**Exciting field work in Seneca Gardens, KY · Medical Professional Field Work (m/f/d) in Hamburg**: · We are looking for you · For field work in the Seneca Gardens, KY area, starting as soon as possible. · Since its founding in 1997, the IAA - Institute for Occupational Medicine ...
-
Logistics Specialist
2 weeks ago
Emerald Enterprises Windy Hills, KY, United States Freelance**In the context of employee leasing, we are currently seeking a specialist for warehouse logistics (m/f/d) for our client in Windy Hills, KY.** · **Your responsibilities:** · - Responsible for receiving, inspecting (quantity, quality, dimensions) and storing all goods · - Record ...
AR Specialist - Louisville, United States - Ellis and Badenhausen Ortho
Description
Job Description
Job DescriptionMain Function
Reports directly to the Billing Manager and responsible for submitting claims and statements to third-party payers and guarantors. Maintains correspondence regarding billing questions and fields calls regarding billing. Works on reducing company AR. Collects on insurance and patient balances. Responsible for understanding and verifying coding on all procedures within regulatory mandates. Other responsibilities as defined below.
Position Title: On Site AR Specialist
Reports to: Billing Manager
This position features:
Generous pay and benefits including a 401k and profit-sharing plan
Duties and Responsibilities
Qualifications
Requirements
To perform this job successfully, an individual must be able to perform each of these tasks satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform these essential functions.
We are an equal opportunity employer
Ellis & Badenhausen Orthopaedics, PSC is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, creed, gender, marital status, sexual orientation, color, religion, national origin, age, disability, veteran status, or any other status protected under local, state, or federal laws. Applicants must be eligible to work in the USA.
