Manager- Physician Billing Services
Summit Orthopedic Specialists - Carmichael, CA

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Requirements

  • Medical Billing Certification, preferred
  • Coding Certification, preferred
  • 2+ years orthopedic billing, coding and collections
  • Experience with California Workers Compensation and Med Legal
  • Must have a comprehensive knowledge of third party insurance billing policies and procedures and previous billing experience. Substantial knowledge of CPT and ICD-9, ICD-10 coding necessary.
  • Must have an in-depth understanding of automated practice management systems; Centricity experience preferred
  • Must be a team player and detail-oriented with excellent problem-solving skills; a working knowledge of federal and state regulations regarding reimbursements required; and excellent organizational and oral and written communication skills.
  • Ability to manage a department and oversee collections from multiple carriers both in and out of network

Responsibilities

  • Oversee daily billing collections
  • Review accounts for billing accuracy in order to maximize reimbursement.
  • Have persuasive and tenacious follow-up on claims status Appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary.
  • Responsible for all billing / collection issues
  • Will compile reports detailing all collection activities including trends and issues that impact operations, aging, adjustments and credit balances on a continuous basis.
  • Investigate all denied services to determine the reason for the service denial, appeal, if appropriate.
  • Development of training for staff and implement policies and procedures related to Collections.

Indeed - 9 months ago - save job - block
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About this company
At Summit Orthopedic Specialists (formerly Northern California Orthopedic Centers), no orthopedic problem is too complex or too simple for...