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Site Billing Specialist - Remote

Remote role Full-time Open position

Benefits: • Competitive Health & Welfare Benefits • HSA with qualifying HDHP plans with company match • 401k plan after 1 month of service with company match (Part-time employees included) • Employee Assistance Program that is available 24/7 to provide support • Employee Wellness Events Minimum Qualifications: • Minimum two to three years of billing experience in a physician's practice. • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. Preferred: • Prefer prior coding experience with CPC, CCS, RHIT, or RHIA Certification. Essential Functions • Maintains productivity and accuracy metrics per department expectations. • Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers. • Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections. • Updates and confirms as necessary to allow processing of claims to insurance plans. • Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients. • Attaches referrals/authorizations to appointments/charges if available. • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. • Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance. • Councils patients face to face when patients have questions or concerns regarding outstanding balances. • Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines. • Completes daily requests and works through obstacles on account balance to ensure maximum reimbursement. • Identifies and communicates trends and/or potential issues to the management team. • Follows and maintains all HOPCo policies and procedures, including those specific to billing. • Other duties as assigned by leadership. About us: The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!? • #1 for Orthopedic Practices • #1 for Healthiest Healthcare Employers • #3 for Best Healthcare Workplace Culture • Winner in Best Places to Work Apply Job!

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