Workers' Comp Billing Specialist - Growth & Benefits

Georgia-Spine-and-Orthopaedics-1; Roswell (GA); In loco; USD 40.000 - 60.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(K)

Great benefits package including med,

Paid time off

Paid holidays

Multiple areas and opportunities for

Mileage reimbursement and travel stip

Descrizione del lavoro

Georgia Spine & Orthopaedics in Roswell, GA is seeking a Billing Specialist for Workers' Compensation to help maximize revenue recognition. You will verify patient and payment data, enter charges daily, and collaborate with the Billing Manager to address denials and payer issues.

You will scrub WC data for accuracy, prepare reports, and cross-train to cover related roles. The role requires knowledge of workers' compensation billing, ICD-10/CPT coding familiarity, and strong attention to detail

Competenze

• Demonstrated understanding of healthcare billing specific to Workers' Compensation
• Demonstrated familiarity with ICD-10 and CPT coding and Workers Compensation Fee Schedules
• Demonstrated ability to understand the specific rules, regulations, and forms required by Workers' Compensation, such as pre-certification, prior authorization, and requests to change or add a provider of care.
• Ability to understand and review charge/demographic/financial data for completeness and accuracy.
• Demonstrated ability to post charges, payments, and write-offs.
• Demonstrated ability to collaborate with Workers' Compensation case managers, attorneys, insurance adjusters, and employer groups to ensure optimal client satisfaction and optimization of revenue capture.
• Ability to review and challenge payment reductions or denials.
• Collaboration, teamwork, and problem-solving to achieve goals.
• Demonstrated skills in written and verbal communication and listening.
• Demonstrated skills in providing excellent service to customers.
• An elevated level of integrity and trustworthiness to keep information confidential.
• Develop skills and proficiency under the direction of the office manager to deliver constructive feedback to staff along with corrective action when necessary.
• Develop skills to hold staff accountable to expectations.

Mansioni

• Serve as the first line of assurance that patient and payment information is accurate, complete, and entered into our software system(s) promptly.
• Enter charge data on a daily basis.
• Notify the appropriate team of any missing or incomplete data to be corrected.
• File invoices or claims as directed by the Billing Manager.
• Monitor invoices and claims for timely payment or notification of denial
• Enter payments. Enter write-offs according to the company’s policy per payer.
• Challenge any payment that is not in accordance with the company’s agreement or contract.
• Serve as a point of reference for coding, billing, pricing, and payment issues.
• Cross-train to cover all appropriate roles in the event of a staffing shortage.
• Prepare daily, weekly, and monthly reports as requested by the leadership team.
• Ensure coordination of the Central Business Office Team as a whole and with other areas of the company.
• Assist medical providers with any issues/projects as needed.
• Monitor/maintain a positive work environment.
• Answer incoming office calls regarding revenue-cycle issues as required.
• Other duties as requested.

Descrizione del lavoro

Georgia Spine & Orthopaedics in Roswell, GA is seeking a Billing Specialist for Workers' Compensation to help maximize revenue recognition. You will verify patient and payment data, enter charges daily, and collaborate with the Billing Manager to address denials and payer issues.

You will scrub WC data for accuracy, prepare reports, and cross-train to cover related roles. The role requires knowledge of workers' compensation billing, ICD-10/CPT coding familiarity, and strong attention to detail