Talent.com
Worker's Comp Medical Biller

Worker's Comp Medical Biller

Commonwealth Pain & SpineLouisville, KY, US
26 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Title : Worker's Comp Medical Biller

Reports to : Occupational Medicine Supervisor

FLSA Classification : Hourly Non-Exempt

Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovative, safe, responsible, and clinically proven pain relief possible.

Our team of best-in-class physicians, administrators, and staff empathizes with the needs of our patients. We recognize that their pain is exhausting and debilitating and limits their quality of life. Relief from chronic pain is achievable in various degrees through our intelligent and multimodal team-based approach. Our entire team is committed to providing levels of patient satisfaction and overall clinical outcomes that far exceed the expectations of the medical community, referring physicians, and our customers.

Benefits :

  • Competitive compensation
  • Comprehensive Health / Vision / Dental insurance options
  • Great PTO plan PLUS Paid Holidays
  • 401k and matching available

Commonwealth Pain and Spine is an Equal Employment Opportunity Employer!

Job Summary :

The Billing Specialist ensures accurate processing of medical charges, insurance verification, claim submission, and denial management. Responsibilities include posting daily E / M charges, resolving unpaid or denied claims, maintaining billing documentation, and assisting patients with account inquiries. This role requires strong communication, problem-solving, and customer service skills, along with the ability to analyze denial trends, implement corrective actions, and support process improvements in a fast-paced environment. Responsibilities

  • Post daily Evaluation and Management (E / M) charges
  • Verify Insurance.
  • Post charges.
  • Track, fix, rebill and fllow-up on unpaid claims.
  • Contact insurance companies regarding denials.
  • Accurately utilize the billing system
  • Responsible for managing phone calls and voicemails for billing
  • Send medical records for claims as well as insurance audits
  • Appeal claims if necessary.
  • Assist patients with billing and account questions in a professional manner.
  • Provides excellent customer service to employees, vendors, contractors, and guests.
  • Responds timely to requests, emails, voicemails, etc.
  • Researches and analyzes denial data and coordinates denial recovery responsibilities and report findings to leadership.
  • Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denial.
  • Identifies and pursues opportunities for improvements in denial performance.
  • Processes work lists to facilitate prompt intervention of insurance denials.
  • Research, responds, and documents insurer and patient correspondence / inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts.
  • Research rejections included in EOBs for resolution and files appropriately.
  • Makes management aware of any issues or changes in the billing system, insurance carriers, and / or networks.
  • Access necessary online portals to obtain payment documentation.
  • Meets monthly, quarterly, and annual goals set forth by the Occupational Medicine Supervisor.
  • Communicate effectively and professionally with team members and facilities to obtain information necessary to post payments accurately.
  • Maintain confidentiality of patient care and business.
  • Prioritizes activities to work overturns in a timely manner to alleviate untimely filings.
  • Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.
  • Eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects.
  • Supports the vision and culture of the organization. Demonstrates personal commitment through active involvement in the performance improvement process.
  • Adheres to the Employee Handbook and Policies and Procedures.
  • All other duties assigned including duties performed for affiliates, assigns, lessees, contractors or other third parties.
  • Required Skills

  • Requires a minimum of two years’ relevant work experience in medical billing.
  • Two years of Workers Compensation medical billing experience preferred.
  • Knowledge of insurance plans and their rules specific to Workers Compensation.
  • Knowledge of ICD 10 and CPT codes.
  • Experience with Athena software a plus!
  • Have computer literacy skills and knowledge of Microsoft office applications to include MS Excel, MS Word and MS Outlook.
  • Provide excellent customer service.
  • Education :

  • High school diploma or general education degree. (GED)
  • Physical Requirements :

    The physical demands of this position will include sitting and standing with occasional light to medium lifting. An employee must meet these requirements to successfully perform the essential duties of this job. Reasonable accommodation will be made in accordance with ADA rules and regulations.

    Create a job alert for this search

    Medical Biller • Louisville, KY, US

    Related jobs
    • Promoted
    Patient Access Representative

    Patient Access Representative

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Patient Access Representative.Key Responsibilities Manage remote patient registration and demographic updates Perform insurance verification and resolve unbilled encou...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Access Coordinator

    Patient Access Coordinator

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Patient Access Scheduling Coordinator.Key Responsibilities Schedule routine and complex primary care and specialty appointments Perform full patient registration and v...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Access Scheduler

    Patient Access Scheduler

    Baptist HealthLouisville, KY, US
    Full-time
    Baptist Health is looking for a Patient Access Scheduler to join our team in Louisville, KY.Patient Access Schedulers are responsible for scheduling patients for diagnostic tests and procedures as ...Show moreLast updated: 30+ days ago
    • Promoted
    Sample Registration Clerk

    Sample Registration Clerk

    EurofinsLouisville, KY, US
    Full-time
    Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer,...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Patient Account Representative

    Senior Patient Account Representative

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Senior Patient Account Representative.Key Responsibilities Manage patient scheduling, registration, charge entry, billing, collections, coding, follow-up, payment posti...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Coder

    Medical Coder

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Coder - Medical Coding (work from home Pennsylvania resident).Key Responsibilities Review and analyze medical records to identify diagnoses and procedures for coding T...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Medical Administrative Clerk

    Senior Medical Administrative Clerk

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Medical Administrative Clerk, Senior.Key Responsibilities Serve as the primary point of contact for patients, staff, and guests, handling administrative tasks associate...Show moreLast updated: 14 days ago
    • Promoted
    Patient Registration Representative (Louisville)

    Patient Registration Representative (Louisville)

    ConfidentialLouisville, KY, US
    Part-time
    Join us where your work transcends typical healthcare by profoundly impacting lives and restoring communities.As a national leader in innovative addiction treatment, youll be part of a pioneering t...Show moreLast updated: 22 days ago
    • Promoted
    Patient Intake Coordinator

    Patient Intake Coordinator

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Patient Intake Coordinator - Specialty Pharmacy.Key Responsibilities Support patients and providers in navigating insurance benefits for prescribed injectable therapies...Show moreLast updated: 30+ days ago
    • Promoted
    Prebill Specialist

    Prebill Specialist

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a PreBill Specialist I.Key Responsibilities Verify prebill information including patient demographics and payor details before coding Utilize system tools to locate insu...Show moreLast updated: 5 days ago
    • Promoted
    Medical Billing Specialist

    Medical Billing Specialist

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Medical Billing Specialist - Accounts Receivable (WFH).Key Responsibilities Post medical charges, payments, and journal entries to patient accounts accurately and timel...Show moreLast updated: 30+ days ago
    • Promoted
    Illinois Certified Health Information Coder

    Illinois Certified Health Information Coder

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...Show moreLast updated: 2 days ago
    • Promoted
    CPC Certified Multispecialty Coder

    CPC Certified Multispecialty Coder

    VirtualVocationsLouisville, Kentucky, United States
    Part-time
    A company is looking for a Part-time Multispecialty Coder - Physician.Key Responsibilities Code E / M for multispecialty physician outpatient and inpatient charges Code office-based procedures whe...Show moreLast updated: 1 day ago
    • Promoted
    Patient Account Representative

    Patient Account Representative

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Patient Account Representative-Remote.Key Responsibilities Research and resolve uncollected account balances by contacting third-party payors and patients Document acc...Show moreLast updated: 30+ days ago
    • Promoted
    Billing Service Processor

    Billing Service Processor

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Premium Billing & Service Processor to join their Group Protection Operations Team in a remote environment. Key Responsibilities Manage premium and billing applications,...Show moreLast updated: 1 day ago
    • Promoted
    Patient Registration Representative

    Patient Registration Representative

    ConfidentialLouisville, KY, United States
    Full-time
    Join us where your work transcends typical healthcare by profoundly impacting lives and restoring communities.As a national leader in innovative addiction treatment, you’ll be part of a pioneering ...Show moreLast updated: 23 days ago
    New Patient Scheduler

    New Patient Scheduler

    Commonwealth Pain & SpineLouisville, KY, US
    Full-time
    Quick Apply
    Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovative, s...Show moreLast updated: 26 days ago
    • Promoted
    Patient Billing Customer Service Rep

    Patient Billing Customer Service Rep

    VirtualVocationsLouisville, Kentucky, United States
    Full-time
    A company is looking for a Customer Service Support Representative for Patient Billing Customer Service.Key Responsibilities Answer 80+ inbound calls per day from patients, doctor's offices, and ...Show moreLast updated: 30+ days ago