Medical Billing & Claims Specialist

Job Description

*POSITION IS ON-SITE IN CENTRAL WISCONSIN*A Medical Billing & Claims Specialist is responsible for providing support in the functional areas of Revenue Cycle which includes claims, billing, reimbursement and insurance recovery. They also ensure adherence to company policies, procedures, and related government regulations.ABOUT BONE & JOINTBone and Joint has one of the most comprehensive teams of orthopedic, pain management, podiatric, physical and occupational therapy experts in Northcentral Wisconsin. We aren't a division of another corporate healthcare organization; Bone & Joint belongs to us and we have numerous locations throughout Central Wisconsin. Our mission is to be the Best place for patients to receive care, the Best place for employees to work, and the Best place for physicians to practice medicine.A DAY IN THE LIFE OF A MEDICAL BILLING & CLAIMS SPECIALISTA day in the life of a Medical Billing & Claims Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. They work closely with healthcare providers to ensure accurate billing. The Medical Billing & Claims Specialist may also handle billing inquiries, communicate with insurance companies, and update patient records along to resolve billing discrepancies and ensure timely payments. In addition, they will spend time answering patient phone calls related to their account status. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.QUALIFICATIONS FOR A MEDICAL BILLING & CLAIMS SPECIALIST

High school diploma or equivalent

One or more years' medical billing and/or insurance experience

One or more years' experience balancing accounts and handling payments

Ability to make sound judgments according to procedures or acceptable recommendations for exceptions when needed

Current knowledge of insurance reimbursement structure

Excellent interpersonal skills to build effective partnering relationships with internal departments

Excellent communications skills both written and verbal

Ability to work on variety of projects accurately and within timelines

Microsoft Excel and Word experienceWORK SCHEDULE Workdays of an Medical Billing & Claims Specialist are Monday through Friday 8:00AM to 5:00PM with an hour lunch, or 8:00AM to 4:30PM with a 30-minute lunch. Additional flexibility may be offered after the probation period and based on business needs.READY TO JOIN OUR TEAM?If you think you have what it takes to do this job, then the next step is to fill out our online application. Don't worry, the application is pretty simple as it asks for your resume and to answer some questions to help us get to know you better. We should warn you though, if you are selected to move forward in the hiring process, we will require that you provide us with further details to help us further understand your interest.

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