Medical Billing & Claims Specialist

Job Description

******$2,000 Sign-On Bonus******
* 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.

Bone 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 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.

• 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 experience

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.