Site Billing Specialist – CPC, CCS, RHIT, RHIA Certification

🕒 Ontem

🌵 Arizona – Remoto

🌵 Arizona – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

📊 Especialista em Faturamento

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Healthcare Outcomes Performance Co. (HOPCo)

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🤝 B2B

☁️ SaaS

💰 Private equity em 2019-02

B2B • SaaS

A Healthcare Outcomes Performance Co. (HOPCo) é a maior organização de cuidados ortopédicos baseados em valor nos EUA, especializada na entrega, gestão e criação de valor em cuidados abrangentes do sistema musculoesquelético (MSK). Liderada por médicos e executivos ortopédicos, a HOPCo opera uma rede clínica integrada de MSK acreditada e oferece soluções de parceria prática e de sistema de saúde, programas de saúde populacional voltados para o pagador e cuidados baseados em valor, análises e relatórios de resultados, e ferramentas digitais de engajamento do paciente para alinhar partes interessadas, melhorar resultados e reduzir os custos totais de MSK.

Descrição

• Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards. • Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers. • Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections. • Updates and confirms as necessary to allow processing of claims to insurance plans. • Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients. • Attaches referrals/authorizations to appointments/charges if available. • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. • Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance. • Councils patients face to face when patients have questions or concerns regarding outstanding balances. • Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines. • Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement. • Identifies and communicates trends and/or potential issues to management team. • Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office. • Other duties as assigned by leadership.

🎯 Requisitos

• High school diploma/GED or equivalent working knowledge preferred. • Minimum two to three years of billing experience in a physician practice. • Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers. • Prefer prior coding experience with CPC, CCS, RHIT or RHIA Certification. • Knowledge of government provisions and billing guidelines. • Advanced computer knowledge, including Window based programs.

🏖️ Benefícios

• Normal office environment