Advanced Orthopaedics & Sports Medicine (Houston)
Sports • Wellness
Advanced Orthopaedics & Sports Medicine (Houston) is a multi-location medical practice in the Greater Houston area specializing in orthopedic surgery, sports medicine, pain management, rheumatology, occupational medicine, and physical and hand therapy. Since 1983 the practice has offered joint replacement and arthroscopy, fracture and bone correction treatment, spinal and joint injections, rehabilitation services, telemedicine, and coordinated care delivered by a large team of board-certified and fellowship-trained specialists across four clinics. The organization also engages in community outreach, patient education, and scholarships.
Insurance AR Specialist
Job not on LinkedIn
November 14
Advanced Orthopaedics & Sports Medicine (Houston)
Sports • Wellness
Advanced Orthopaedics & Sports Medicine (Houston) is a multi-location medical practice in the Greater Houston area specializing in orthopedic surgery, sports medicine, pain management, rheumatology, occupational medicine, and physical and hand therapy. Since 1983 the practice has offered joint replacement and arthroscopy, fracture and bone correction treatment, spinal and joint injections, rehabilitation services, telemedicine, and coordinated care delivered by a large team of board-certified and fellowship-trained specialists across four clinics. The organization also engages in community outreach, patient education, and scholarships.
📋 Description
• Responsible for reviewing and submitting claims on a daily basis. • Prepares and submits clean claims to various insurance companies either electronically or on paper. • Contact carriers by phone or website for claim status on outstanding insurance balances. • Process and work all insurance correspondence. • Perform various collection actions including contacting patients by phone. • Correct and resubmit claims to other carriers. • Obtain necessary documentation required to submit to insurance to expedite payments. • Answers questions from patients, clerical staff, and insurance companies. • Identify and resolve patient billing complaints. • Prepare appeal letters for all claims that are denied for payment. • Document all collection activities using guidelines in place. • Identify underpayments by checking payments received against our contracted fee schedule. • Work and process all insurance refund requests. • Report payer issues or delays to supervisor. • Maintain accurate and timely reconciliation of accounts receivable. • Review claims stopped in the claim scrubber. • Work claims rejected by the clearinghouse.
🎯 Requirements
• High School Diploma or GED. • Minimum one year experience in a medical billing/collections field. • Ability to write and read. • Ability to add, subtract, multiple and divide on all units of measure, using whole numbers, common fractions and decimals. • Ability to read and interpret explanation of benefits remittances to determine and identify claim denial reasons and necessary course of action for resolutions. • Ability to type 45 WPM. • Basic proficiency in Microsoft Outlook/Office. • Experience using or ability to learn and comprehend computer programs.
🏖️ Benefits
• Maintains strict confidentiality; adhere to all HIPAA guidelines/regulations. • Participate in educational activities.
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