Risk Adjustment Coding Specialist supporting risk adjustment efforts through chart reviews and provider education. Estimated travel up to 75% in Inland Empire region, specifically LA or Orange County.
About the role
- Medical Billing Specialist managing billing processes at Summit Orthopedic Specialists. Ensuring accurate claims processing and exceptional service in a collaborative environment.
Responsibilities
- Process and submit insurance claims accurately and efficiently.
- Manage claim denials and follow up to ensure proper reimbursement.
- Collect and process patient payments and virtual credit card payments.
- Reconcile unapplied credit balances and explanation of benefits (EOBs).
- Verify patient insurance coverage and eligibility.
- Answer billing queue calls and voicemails, assisting patients with billing inquiries.
- Maintain compliance with HIPAA, coding guidelines, and insurance policies.
- Collaborate with teammates to ensure proper documentation and coding.
Requirements
- Experience working in a medical office is required; orthopedic experience is a plus.
- Experience working with Athena (EMR system) is a plus.
- Understanding of CPT, ICD-10, and HCPCS coding.
- Strong attention to detail and ability to work in a fast-paced environment.
- Excellent communication and problem-solving skills.
- Ability to maintain patient confidentiality and adhere to HIPAA regulations.
Benefits
- Competitive salary and benefits package.
- A supportive and collaborative team environment.
- Opportunities for professional growth and development.
- Be part of a practice that values quality patient care and innovation.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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