Northwest Orthopaedic Specialists is seeking a Billing Specialist responsible for the prevention, tracking, and follow-up of denied and/or unpaid claims. The role involves reviewing claims for maximum reimbursement and maintaining productivity in a fast-paced environment.
Responsibilities
- Timely follow up on claim denials, exceptions or exclusions
- Contacting insurance companies to determine reasons claims are unpaid
- Identifying denial trends to help create strategies to prevent denials wherever possible
- File appeals as needed to resolve payer denials and work with payers and monitor appeals in process
- Properly track and document all denial and appeal activity
- Research of payments with missing remit information or misapplied payments
- Ensure that accounts receivable is kept current according to organizational benchmarks
- Adheres to all HIPAA guidelines/regulations
- Other duties as assigned
Skills
- Strong written and oral communication skills
- Knowledge of computer systems and programs
- Excellent customer service skills
- Knowledge of medical terminology and human anatomy
- 1 year experience in medical coding or billing, including experience with denials, CPT and ICD-10
- High school graduate or equivalent
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Basic Life & ADD Insurance
- Long Term Disability Insurance
- Voluntary Short Term Disability Insurance
- Voluntary Life & ADD Insurance
- Health Savings Account
- Employee Assistance Program
- Voluntary AFLAC Options
- Employee Discount
- 401k Employer Match after 1 year
- 401k Profit Sharing after 1 year
- PTO (.0615 per hour paid)
- 7 paid holidays
Company Overview
Northwest Orthopaedic Specialists provide bone, joint, and muscle care services. It was founded in 2019, and is headquartered in Spokane, Washington, USA, with a workforce of 201-500 employees. Its website is http://www.nworthopaedicspecialists.com/.