OrthoCarolina - Charlotte, NC

posted 3 months ago

Full-time - Mid Level
Charlotte, NC
251-500 employees
Ambulatory Health Care Services

About the position

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty, and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a sense of belonging. Our employees work together to uphold the standards of excellence and promote an environment of teamwork throughout the organization. If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you! We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte. This position is a hybrid schedule with rotating days in the office depending on department needs. The role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient. Other responsibilities include: Maintaining AR queues at a reasonable age-base date as defined by management. A/R Representatives are also responsible for reviewing and appealing denied medical claims for bundling and medical coding-related issues. Responsible for timely follow-up on all appeal submissions. A/R Representatives will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests. Providing follow-up and feedback to management regarding assignments. A career at OrthoCarolina will provide you with opportunities for career advancement, dedicated peer support, and continuing education. Our company is committed to providing our employees with the utmost positive work environment.

Responsibilities

  • Review aging medical insurance account balances and resolve claim issues with insurance and/or patients.
  • Maintain AR queues at a reasonable age-base date as defined by management.
  • Review and appeal denied medical claims for bundling and medical coding-related issues.
  • Timely follow-up on all appeal submissions.
  • Process corrected claims and assist with timely turnaround for medical documentation requests.
  • Provide follow-up and feedback to management regarding assignments.

Requirements

  • Minimum of three years of accounts receivable experience.
  • One year of experience in a health care organization.
  • One year Microsoft Office experience.
  • Working knowledge of ICD-10 required.
  • High school diploma or GED required.
  • One-year certificate from college or technical school preferred.
  • Certified Professional Coder (CPC) preferred.

Nice-to-haves

  • Experience in medical billing or coding.
  • Strong organizational skills.

Benefits

  • Profit sharing
  • Wellness program
  • Continuing education credits
  • Health savings account
  • Disability insurance
  • Health insurance
  • Dental insurance
  • 401(k)
  • Tuition reimbursement
  • Employee assistance program
  • Vision insurance
  • Opportunities for advancement
  • Life insurance
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