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Accounts Receivable / Medical Claims Specialist - Remote
Graham Allen Partners • Remote • Posted 7 days ago
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Remote • Full-time • Entry Level
Job Highlights
Using AI ⚡ to summarize the original job post
The Accounts Receivable / Medical Claims Specialist is responsible for handling patient inquiries, reviewing and appealing insurance claims, and maintaining accounts receivables in accordance with clinic policies. This role requires excellent communication skills, proficiency in insurance and medical terminology, and the ability to navigate and comprehend computer software systems. The position is remote, requiring work hours from 8:00am to 5:00pm PST.
Responsibilities
- Assist in the processing of insurance claims including worker's compensation for all financial classes
- Communicate with insurance companies to ensure claims are paid and correct any account or insurance errors
- Oversee claims appeals and reviews; review claims aging status and follow up on open claims
- Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
- Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology
- Participate in professional development efforts to stay current with health care best practices and trends
- Actively participate in the company's efforts to create innovative data and analytics solutions for the modern orthopedic business office
- Other duties as assigned
Qualifications
Required
- High school diploma or equivalent, college courses or certificate preferred
- Excellent communication skills, especially phone skills
- Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules
- Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill
- Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting
- Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo
- Ability to learn quickly and contribute ideas that make the team, processes, and solutions better
Preferred
- Two years of billing experience in a hospital and/or surgical setting
Full Job Description
Position Overview:
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Work hours: This position is for a client located in Oregon and would require work hours from 8:00am - 5:00pm PST.
Essential Duties & Responsibilities:
Required Skills:
Preferred Skills:
Skills & Requirements Qualifications Orthos is a leading-edge data analytics company, created to help orthopedic practices solve their biggest challenges. Our software helps revenue cycle teams process claims faster, hold insurance companies accountable, provide transparency into the performance of the practice, all while contributing to a better overall patient experience. We help orthopedic providers keep their focus on care while we ensure that their business operations and revenue cycle management processes perform to the highest standards.
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Work hours: This position is for a client located in Oregon and would require work hours from 8:00am - 5:00pm PST.
Essential Duties & Responsibilities:
- Assist in the processing of insurance claims including worker's compensation (if assigned) for all financial classes
- Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts
- Oversee claims appeals and reviews; review claims aging status and follow up on open claims
- Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
- Understand, and stay up to date with, clinic and insurance industry contract policies/ procedures and medical terminology
- Participate in professional development efforts to stay current with health care best practices and trends
- Actively participate in the company's efforts to create innovative data and analytics solutions for the modern orthopedic business office
- Other duties as assigned
Required Skills:
- High school diploma or equivalent, college courses or certificate preferred
- Excellent communication skills, especially phone skills, that encourage the establishment and maintenance of cooperative, positive relationships with both internal and external stakeholders (patients, physicians, colleagues, etc.)
- Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules
- Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill
- Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting
- Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo
- Ability to learn quickly and contribute ideas that make the team, processes, and solutions better
- Share our values: resilience, altruism, communication, achievement, and determination
Preferred Skills:
- Two years of billing experience in a hospital and/or surgical setting
Skills & Requirements Qualifications Orthos is a leading-edge data analytics company, created to help orthopedic practices solve their biggest challenges. Our software helps revenue cycle teams process claims faster, hold insurance companies accountable, provide transparency into the performance of the practice, all while contributing to a better overall patient experience. We help orthopedic providers keep their focus on care while we ensure that their business operations and revenue cycle management processes perform to the highest standards.
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