Orthopaedic Solutions ManagementClearwater, FL, US
30+ days ago
Job type
Full-time
Job description
Job Description
Job Description
Essential Functions, Duties, Responsibilities :
All other duties assigned, reports, projects, ETC
Follows HIPAA guidelines in handling patient information.
Answer incoming calls from patients, physicians offices and insurances
Resolves patient-billing problems and rescues accounts receivable delinquency, applying good customer service in a timely manner.
Reviewing open accounts for collection efforts.
Review and monitor assigned accounts and all applicable collection reports.
Provide timely follow-up on payment arrangements.
Making outbound collection calls in a professional manner while keeping and improving customer relations.
Set up payment arrangements if needed / applicable
When reviewing accounts, makes sure all available resources of payment have been researched and exhausted. Identifies if there are issues and that information is communicated to the appropriate billing staff via patient case that may need to be reviewed such as corrections to claims, appeals, etc.
Answers calls from the billing loop.
Handles concerns or questions from patients to resolve claims and payments issues.
Be friendly with unhappy patients and satisfy their requirements or their queries. Report concerns to Quality department as necessary.
Assure compliance with all company plans, policies and procedures set forth by the Florida Orthopaedic Institute
All other duties as assigned
Meet all metrics and KPI’s
Knowledge, Skills, Abilities :
Must have knowledge of insurance guidelines and requirements
Must be able to work with minimal supervision and still meet goals, metrics, and deadlines
Should be able to handle multiple tasks under strict deadlines
Must be customer-service focused, organized, and have extreme attention to detail
Must have effective and excellent interpersonal skills, verbal, and written communication skills.
Must pay attention to detail with an eye for accuracy.
Ability to interact with patients in a pleasant, calm, and polite manner and a pleasing personality with excellent interpersonal skill.
Meet the expectations of our internal and external customers in providing excellent service
Enjoy working as part of a team
Well-presented, polite, and tactful
Required Qualifications :
High School Diploma or GED equivalent
Knowledge of CPT / ICD 10
Must demonstrate an understanding of explanation of benefits & reimbursement payment practices including deductibles, co-insurance, and contractual discounts.
5 plus years prior medical billing experience or equivalent