Certified Orthotist

MISSION STATEMENT

“Quality of Life for Life”

SUMMARY:

Responsible for the accurate processing of insurance claims and subsequent follow up as needed.

AGE/ PATIENT POPULATIONS SERVED

All ages/populations

ESSENTIAL DUTIES AND RESPONSIBILITIES

 Prepares the O/P and the DME encounters in preparation for transmit.

 Making sure all pertinent information meets medicare’s criteria to bill.

 Making sure all eligibility information is attached.

 Follow up with all documents lacking by calling physicians and patients.
 Scan all insurance payments, patient payments, and denials to file. Daily

 Confirm all cash rentals, JTB, and VA.

 Post payments for cash rentals, and VA.

 Bill JTB accounts.

 Back up Medical Records clerk.

 Complete chart audits; signature required

 Complete making sure all pertinent information meets medicare’s criteria to bill.

 Making sure all eligibility information is attached.

 Follow up with all documents lacking by calling physicians and patients.
 Scan all insurance payments, patient payments, and denials to file.

 Chart audits, signature required:

 Complete daily task form sheet and forward to Management for review.

 Performs other miscellaneous job-related duties as assigned.

CORPORATE COMPLIANCE RESPONSIBILITIES

 Understands and adheres to CR Newton Co., LTD. compliance standards as they appear in CR Newton’s
Company Handbook.

JOB REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training license, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described within the ADA Compliance Policy

Education/Experience:

 High School diploma.

 Experience Medical Biller

 Minimum 1-5 years experience in Commercial insurance billing, monthly statements, secondary insurance claims,

 Prior experience dealing with providers’ office, patients and/or customers, patients and/or customers representatives, insurance professionals, and other health care professionals

Skills and Strengths

 Knowledge of principles and processes involved in business and insurance industry.

 Demonstrates ability to identify covered and non-covered services

 Working knowledge of Medical Terminology, ICD-10, HCPCS, and CPT codes.

 Ability to complete all tasks and assignments

PHYSICAL DEMANDS

On average an employee may be expected to sit, stand, walk, and possibly drive as part of the essential duties of this position during an (8) hour shift. Other physical activities of this position may involve the following

 Balancing, crouching, kneeling, pulling, repetitive movement. climbing, fingering, lifting, pushing, stooping, crawling, grasping, carrying, and reaching

 An individual in this position will be required to carry or lift up to 50lbs

 Working with a ladder

 Accurate typing and data entry skills

SENSORING AND COMMUNICATIVE

The essential functions of this position include

 Hearing

 Speaking

WORK ENVIRONMENT

The average work environment for this position include

 Air-conditioned environment

 Outside environmental conditions

Job Type: Full-time

Pay: Up to $108,148.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• Weekend availability

License/Certification:

• Certified Pool Operator (Preferred)

Work Location: One location