Job Overview:
About Augustin Orthopedics
Augustin Orthopedics is a leading and well-established medical practice specializing orthopedic surgery, sports medicine, and physical therapy.
Job Summary:
The Medical Biller/Collector is vital to our revenue cycle department, focusing on the follow-up and payment of surgical claims. The role requires a comprehensive understanding of the claims adjudication process, medical claims legislation, individual insurance policies, CMS guidelines, and NCCI edits. Strong communication skills, both verbal and written, are essential for effective interaction with insurance carriers and team members. The ideal candidate will interact with all levels of staff within the office, as well as external professionals, vendors, payers, and patients.
Duties & Responsibilities:
- Manage assigned medical claims, aging reports, and correspondence promptly.
- Use Navinet, Optum, and Availity to check the status of claims.
- Follow Augustin Orthopedics’ policies and procedures.
- Identify reasons for payor denials accurately and write detailed appeals targeting those reasons.
- Determine causes of clearinghouse rejections.
- Ensure that primary payor claims are sent to secondary payors and verify payment at the contracted rate.
- Respond promptly to all incoming calls, faxes, and emails.
- Achieve goals set by the Revenue Cycle Manager.
- Perform additional duties as assigned.
Experience/Training/Education:
- High School Diploma or GED required.
- At least 3 years of experience in Medical Billing and Collections.
- Preferred experience in collecting for General Orthopedics, Physical Therapy and office visits.
- Coding experience required.
- CPC Certification is a plus and may affect pay rate.
- Experience in payment posting.
Knowledge/Skills/Abilities:
- Ability to research payor websites and apply insurance guidelines.
- Knowledge of Medicare Medical Billing.
- Proficiency in Microsoft Outlook, Word, and Excel.
- Experience with Electronic Medical Records (EMRs) such as Modernizing Medicine and WebPt.
Join Augustin Orthopedics and be part of a team dedicated to precision, professionalism, and patient care in the field of medical billing and collections.
Job Types: Full-time, Part-time
Pay: $21.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
- Medical office
- Office
- Private practice
People with a criminal record are encouraged to apply
Experience:
- ICD-10: 1 year (Required)
Ability to Commute:
- Bayonne, NJ 07002 (Required)
Ability to Relocate:
- Bayonne, NJ 07002: Relocate before starting work (Required)
Work Location: In person