O&P Billing Specialist — Pediatric Care Impact

150 Shriners Hospitals for Children; United States; On-site; USD 52,000 - 72,000; Full time

Job summary

Shriners Children's is seeking an Orthotics & Prosthetics Billing Specialist to manage O&P billing, process EOBs, statements, and postings while maintaining audit-ready records. You will respond to patient and payer inquiries and support cross-department collaboration to ensure accurate billing.

The role emphasizes confidentiality and adherence to SHC policies. Responsibilities include reconciling payments, updating demographic data, and assisting with procedure updates and legal documentation

Qualifications

• 3 yrs of healthcare billing, claims and insurance experience.
• Knowledge of insurance EOBs.
• Experience interacting with patients and providers via phone and email in a courteous and professional manner.
• Strong oral and written communication skills.

Responsibilities

• Processes O&P Billing to third party payers and patients; maintaining supporting documentation files.
• Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
• Researches and responds to all patient and/or payer inquiries regarding O&P billing issues and problems.
• Follows up on all submitted claims, monitors unpaid claims, initiates tracers, and resubmits claims, as needed.
• Balance daily batch payments and reports.
• Maintains payer and patient demographic information and data collection.
• Under the direction of the O&P Billing Supervisor and Director of O&P will assist with the development of organization procedures and update of forms and manuals pertaining to billing of O&P devices.
• May assist in preparing documentation and responses for legal inquiries and litigation.
• Ensures strict confidentiality of patient and financial records according to all SHC Policies and Procedures.
• Work collaboratively and closely with management, executives, hospitals, staff and leadership to ensure effective and compliant O&P Billing.

Skills

Healthcare billing experience

Insurance EOB knowledge

Phone and email communication

Oral and written communication

Job description

Shriners Children's is seeking an Orthotics & Prosthetics Billing Specialist to manage O&P billing, process EOBs, statements, and postings while maintaining audit-ready records. You will respond to patient and payer inquiries and support cross-department collaboration to ensure accurate billing.

The role emphasizes confidentiality and adherence to SHC policies. Responsibilities include reconciling payments, updating demographic data, and assisting with procedure updates and legal documentation