Medical Billing Spec

At OSS Health, our mission is to continually strive to be the healthcare leader in quality,innovation and value. We make every effort to understand and exceed the expectations and needs of our patients.

We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offersa great work environment, professional development opportunities, meaningful careers, and competitive compensation.

Are you ready to provide a 5-star “OSSOME” experience?

The Medical Billing Specialist is a key member of the Revenue Cycle team responsible for ensuring thatthe organization receives proper reimbursement by reviewing payer requirements, correctionoferrors and supporting Patient Financial Services and the patients with billing inquiries.

Monday - Friday 8 hours per day

• Verify claim accuracy, including demographics, insurance coverage, coding, modifiers and required documentation.
• Correct and resubmit rejected or denied claims promptly
• Communicate with payers to resolve delays,denial sand underpayments.
• Document all account activity inbilling systems perdepartmentstandards.
• Review denial codes and explanation of benefits (EOBs) todetermineroot causes
• Initiate corrections,appealsor re-billing procedures as needed.
• Work with coding,clinicalandfront-endteams to prevent recurring errors.
• Assist patients and patient financial services with billing questions, statements,and balance questions.
• Ensure billing practices comply withpayer policies, CMSregulationsand organizational standards.
• Maintain thorough,accurate records of billing actions and follow-ups.
• Support audits and quality reviews.
• Escalates difficult or recurringissuestothe Revenue Cycle Manager toidentifya trend, resolve the isolated issue orrendercorrection to the billing process.
• Demonstrates good judgment in safeguarding OSS information to include confidentiality of all medical and patient information.
• Resolution of any Coordination of Benefits, Self-Pay Adjustments or Bundled Pricing
• Follows all policies and procedures ofOSS.
• Other duties as assigned.

• High school diploma or equivalent is required;
  
  Associate Degreeor Accredited Certificate from a Medical Billing program is preferred.

• At least 2 years’ experience in medical insurance billing for a hospital, clinic, or doctor’s office.
• Must be detail oriented andpossessexcellent organizational skills, timemanagementand communication skills
• Must have a working understanding of hospital and/or physician claim requirements for Medicare, Medicaid, Commercial Healthcare Insurance.
• Must be able to prioritize duties and communicate directly with insurance companies, patients, physicians, co-workers and vendors.
• Must be a team player and willing to work with all staff to get the overall job accomplished.
  
  Mustmaintaina cooperative working relationship with alland handle difficult situations tactfully.
• Experience with Medent,CPSIand SSIsoftwarepreferred.
• Must have the ability to review and understand written material pertaining toorthopaedicsandgeneral healthcare, including terminology and reimbursement issues.

• Competitive Wages
• Medical, Dental, Vision available on the first day of employment
• Disability, and Life Insurance within
  90 days
• Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability
• Paid Time Off (PTO)
• 401(k) plan andprofit sharing
• Career Advancement Opportunities