Medical Billing: Reimbursement Variance Analyst

Orthopedic One; Westerville (OH); Hybrid; USD 42.000 - 60.000; Vollzeit

Zusammenfassung

Orthopedic One in Westerville, OH is seeking a capable Medical Billing Specialist to maintain fee schedules, analyze reimbursement variances, and process insurance refunds. This role requires CPC certification and prior orthopedic billing experience.

The ideal candidate will excel in using practice management software and Excel, communicate effectively with patients and insurers, and uphold accurate billing practices in a fast-paced clinic environment.

Qualifikationen

• High School Diploma or equivalent required.
• Certified Professional Coder (CPC) certification required.
• Prior medical billing experience, preferably in orthopedics.
• Proficiency with practice management systems and Microsoft Excel.

Aufgaben

• Maintain clinic fee schedules and payer updates in the PM system and ensure accuracy of reimbursement policies.
• Analyze payment variances and correct invalid allowed amounts in fee schedules; address underpayments with carriers.
• Validate insurance refunds and process overpayments; generate and mail refund checks with documentation.
• Provide professional patient and carrier communications; deliver courteous service and resolve issues efficiently.

Kenntnisse

Medical billing

Customer service

Excel

Practice management

Ausbildung

High School Diploma

Certified Professional Coder

Tools

Practice management system

Microsoft Excel

Jobbeschreibung

Orthopedic One in Westerville, OH is seeking a capable Medical Billing Specialist to maintain fee schedules, analyze reimbursement variances, and process insurance refunds. This role requires CPC certification and prior orthopedic billing experience.

The ideal candidate will excel in using practice management software and Excel, communicate effectively with patients and insurers, and uphold accurate billing practices in a fast-paced clinic environment.