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DATE ADDED: Wed 17/10/2018

Surgical Billing Specialist

Austin, USA


Job Description

As members of the DOC team, we are instrumental in bringing hospitality to healthcare. Come join DOC as an Orthopedic Billing Specialist for our service driven organization.

As a Billing Specialist, your lead outcomes will include:

  • Follow Insurance and Guest Aging of accounts through to complete resolution
  • Lead efforts in reviewing accounts with outstanding balances and determining correct action to ensure reimbursement
  • Establish payment arrangements with guests; monitoring payments and following up with guests as needed
  • Manage work flow of the assigned accounts and prioritize the issues to meet deadlines for filing and reimbursement
  • Meet monthly performance metrics

As a Billing Specialist, your core responsibilities will include:

  • Review CPT, ICD-10 and modifier coding for accuracy
  • Submit EDI claims and work clearinghouse rejection reports
  • Post insurance and guest payments; perform necessary adjustments
  • Review payment denials and claim rejections; research and resubmit within established time frames
  • Document transactions to maintain adequate audit trail
  • Process electronic guest statements
  • Process electronic EOB’s
  • Prepare daily, weekly, monthly and yearly reports
  • Review and resolve accounts with credit balances. Request refunds and/or adjustments as necessary
  • Maintain work operations by following policies and procedures; reporting compliance issues
  • Update job knowledge by participating in educational opportunities

As a Billing Specialist, DOC requires the following competencies:

  • Behaviors and standards that model DOCs values and delivers a service experience that is unrivaled
  • Certified Coder (CPC) or Certified Professional Biller (CPB)
  • Minimum of 3 years Orthopedic/surgical billing experience
  • Workers’ Compensation Knowledge/Experience
  • Solid understanding of PM/EMR systems
  • Extensive knowledge of health insurance billing and processes, provider plans and payer contracts
  • Ability to work independently
  • Proactive leadership
  • Active listening skills
  • Behavior that is enthusiastic
  • Enjoy working as part of a team
  • Flexibility/Adaptability

Company Description
We believe in finding a better way, sharing it, and celebrating success!

We do this by serving people, not the system. We understand that there will be change and challenge
on the journey and we will figure it out. We find
answers to questions even if they aren’t asked. Above
all, we tenaciously care for our team, our guests, and
our communities.

Role: Surgical Billing Specialist
Job Type:
Location: Austin,

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