Toportho
Description
Although this is primarily a full-time position, we are willing to consider alternative schedules or part-time employment. As Patient Financial Counselor your primary responsibility is to navigate the complex insurance landscape and ensure accurate billing and reimbursement for orthopedic services. You will work closely with patients, healthcare providers, insurance companies, and other stakeholders to verify insurance coverage and resolve billing-related issues. Your knowledge of insurance processes, attention to detail, and effective communication skills will contribute to the financial success and compliance of the orthopedic office. Primary Responsibilities: Insurance Verification
Verify patient insurance coverage, benefits, and eligibility for orthopedic services. Collect and update patient insurance information accurately in the electronic health record (EHR) system. Communicate with insurance companies to obtain detailed information about coverage limitations, preauthorization requirements, and billing guidelines. Financial Counseling and Patient Support
Educate patients on insurance coverage, benefits, and financial responsibilities related to orthopedic services. Assist patients with understanding their insurance claims, EOBs, and billing statements. Provide financial counseling and assist patients in setting up payment plans or exploring financial assistance options when needed. Compliance and Documentation
Ensure compliance with coding and billing regulations, including HIPAA and other industry guidelines. Maintain accurate and up-to-date documentation of insurance-related activities, including authorizations, claims, appeals, and communication with insurance companies. Requirements
High school diploma or equivalent (additional education or certification in medical billing, coding, or healthcare administration is a plus). Proven experience in medical insurance verification, billing, or similar roles in a healthcare setting, preferably in an orthopedic office. In-depth knowledge of medical insurance processes, including verification, preauthorization, claims submission, and reimbursement. Familiarity with orthopedic procedures, terminology, and coding systems (ICD-10-CM, CPT, and HCPCS). Strong understanding of insurance guidelines, regulations, and billing requirements. Proficiency in using computer systems and software for insurance verification, claims submission, and electronic health records. Excellent communication skills, both verbal and written, to interact effectively with patients, healthcare providers, insurance companies, and other stakeholders. Strong attention to detail and accuracy in data entry, documentation, and claims processing. Ability to handle confidential and sensitive information with discretion. Strong problem-solving and analytical skills to identify and resolve billing-related issues. Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Knowledge of medical terminology, anatomy, and orthopedic-specific procedures is desirable.
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Although this is primarily a full-time position, we are willing to consider alternative schedules or part-time employment. As Patient Financial Counselor your primary responsibility is to navigate the complex insurance landscape and ensure accurate billing and reimbursement for orthopedic services. You will work closely with patients, healthcare providers, insurance companies, and other stakeholders to verify insurance coverage and resolve billing-related issues. Your knowledge of insurance processes, attention to detail, and effective communication skills will contribute to the financial success and compliance of the orthopedic office. Primary Responsibilities: Insurance Verification
Verify patient insurance coverage, benefits, and eligibility for orthopedic services. Collect and update patient insurance information accurately in the electronic health record (EHR) system. Communicate with insurance companies to obtain detailed information about coverage limitations, preauthorization requirements, and billing guidelines. Financial Counseling and Patient Support
Educate patients on insurance coverage, benefits, and financial responsibilities related to orthopedic services. Assist patients with understanding their insurance claims, EOBs, and billing statements. Provide financial counseling and assist patients in setting up payment plans or exploring financial assistance options when needed. Compliance and Documentation
Ensure compliance with coding and billing regulations, including HIPAA and other industry guidelines. Maintain accurate and up-to-date documentation of insurance-related activities, including authorizations, claims, appeals, and communication with insurance companies. Requirements
High school diploma or equivalent (additional education or certification in medical billing, coding, or healthcare administration is a plus). Proven experience in medical insurance verification, billing, or similar roles in a healthcare setting, preferably in an orthopedic office. In-depth knowledge of medical insurance processes, including verification, preauthorization, claims submission, and reimbursement. Familiarity with orthopedic procedures, terminology, and coding systems (ICD-10-CM, CPT, and HCPCS). Strong understanding of insurance guidelines, regulations, and billing requirements. Proficiency in using computer systems and software for insurance verification, claims submission, and electronic health records. Excellent communication skills, both verbal and written, to interact effectively with patients, healthcare providers, insurance companies, and other stakeholders. Strong attention to detail and accuracy in data entry, documentation, and claims processing. Ability to handle confidential and sensitive information with discretion. Strong problem-solving and analytical skills to identify and resolve billing-related issues. Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Knowledge of medical terminology, anatomy, and orthopedic-specific procedures is desirable.
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