Patient Checkout Specialist

Resurgens-Orthopaedics; Woodstock (GA); On-site; USD 36,000 - 48,000; Full time

Job summary

Resurgens-Orthopaedics is seeking a Checkout Specialist to support patient checkout in a fast-paced medical office. You will review insurance benefits with patients, collect time of service and past due balances, and log charges in the EMR system.

The role requires accurate billing, CPT/ICD-10 knowledge, and strong customer service. You will work with the billing team to ensure clean claims and timely payments.

Qualifications

• Medical office experience required.
• Proficient computer skills in a clinical/office setting.
• Basic CPT and ICD-10 coding knowledge necessary.
• Knowledge of standard billing procedures expected.

Responsibilities

• Reviews services received by patients, confirming accurate recording of all services.
• Enters charges and approves claim creation in the EMR at checkout.
• Submits claims for Real Time Adjudication.
• Handles Day End Review and Tier-based HOLD Claim Worklists daily.

Skills

Medical office experience

Computer skills

CPT and ICD-10 coding knowledge

Billing procedures knowledge

Tools

EMR system

Job description

Description

SUMMARY

Once the provider and clinical staff has completed the patient visit, the patient is ready for check out.

The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all patients. General duties include insurance benefit review with the patient, collection of time of service balances and past due balances.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reviews services received by patients, checking to make sure that all services rendered have been recorded correctly
• Enters charges / approves claim creations in EMR system at Check-Out
• Submits appropriate claims for Real Time Adjudication
• Works “Day End Review” report and designated Tier-based HOLD Claim Worklist(s) on a daily basis
• Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment
• Collect monies owed, to include co-pay’s, outstanding balances, and time of service collections
• Posts monies and produces a receipt for the patient
• Answers straightforward billing questions
• Reconcile payment batch in EMR systemsFollows site specific end of day duties

Requirements

QUALIFICATIONS

• 1+ years of medical office experience
• Intermediate computer skills
• Basic CPT and ICD-10 coding knowledge
• Knowledge of billing procedures

PHYSICAL DEMANDS

While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift, push and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.