Billing Specialist, Workers Compensation

Job Summary

Busy orthopaedic practice offering challenging work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.

Duties And Responsibilities

• Research all information needed to complete billing process including obtaining charge information form providers.
• Enters and itemizes charge information into billing system and produces account.
• Assist with coding and error resolution, codes information about procedures performed and diagnosis on charge.
• Ability to process and distribute billing.
• Post payments and applies credits to patient accounts.
• Answer telephone and provides information as requested.
• Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim.
• Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required.
• Participate in Accounts Receivable activities on past due accounts as directed by Team Lead or Billing Manager.
• Generate periodic reports and statistics regarding status of patients accounts and receivables.
• Maintain patient confidentiality.
• Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and codes.
  
  

Requirements And Qualifications

• Associates degree preferred; HS diploma or GED equivalent required.
• 2+ years medical billing experience required.
• EMR experience required; MEDENT experience preferred.
  
  

Physical Demands

• Position requires manual and finger dexterity and hand-eye coordination.
• Involves standing, sitting, and walking.
• Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required.
  
  

Benefits

We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision insurance, employer paid base life, and other voluntary benefits*. Time off benefits include paid combined time off (CTO) and seven paid holidays, plus a floating holiday after one year of service. Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service. Qualified team members become eligible to participate in medical benefits on the 1st of the month following date of hire, and retirement benefits after 90 days.

We also provide professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team. We are committed to providing our employees with the resources they need to thrive both personally and professionally.

• Other voluntary benefits include Voluntary Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, Supplemental Life Insurance, and legal and identity protection and pet insurance.
  
  

Who We Are

Excelsior Orthopaedics is a multi-specialty orthopedic practice that has been providing comprehensive care since 2002. We have multiple locations throughout the Western New York region and a free-standing ambulatory surgery center, Buffalo Surgery Center. Excelsior Orthopaedics offers a suite of in-house services including general orthopaedic evaluation and treatment, podiatry, physical & occupational therapy, nutrition counseling, sports training, outreach athletic training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program. Buffalo Surgery Center provides surgical and procedural treatments for orthopaedic, pain and spine, podiatry, total joint replacement, and gastrointestinal patients. Our mission is to transform the lives of our patients by restoring function and enhancing quality of life. We are committed to innovative care that is driven by patient needs and supported by the most skilled, experienced team in Western New York.

The pay range for this position is determined based on several factors, including the candidate’s years of experience, qualifications, training, licenses, designations, and the overall market conditions.

This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.

Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.