Job Description

Join Our Thriving Pediatric Orthopaedic Group!

Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We're seeking a highly motivated individual to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance.

What You'll Do:

Independently:

• Analyze claim denials and take corrective action to ensure timely reimbursements.
  • This includes corrected claims, reconsiderations, and appeals.
• Apply accurate adjustments based on insurance guidelines and contracts.
• Manage secondary insurance and patient responsibility.

Collaboratively:

• Collaborate with the team to resolve outstanding insurance payments
  • This includes pulling insurance policies and setting up system edits and scrubs to prevent future denials for similar issues.
• Correspond with Insurance Verification and Frond Desk to Input missing data and correct registration errors.
• Communicate effectively with patients and front desk regarding balances and collect payments.

We're Looking For:

• A minimum of 2 years' experience as a medical billing specialist.
• Proven track record in AR follow-up, EDI management, coding, medical terminology, and computer skills.
• CPC or CPB certification (or willingness to obtain within 2 years).

What Makes you Stand Out:

• Experience in insurance verification is a plus.
• Prior experience in pediatrics and/or orthopaedics is highly preferred.
• Experience with AthenaPractice (Previously known as GE Centricity), Encoda, or Phreesia.
• Knowledge of Florida Medicaid billing (not required).

Work Environment:

• We offer flexible work arrangement - remote, hybrid, or on-premise!
• Must reside in Florida within an hour of Tampa Bay (on-site training required).

Ready to grow your career with a dynamic team? Apply today!

Job Tags

Remote job, Flexible hours,

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