What are the responsibilities and job description for the Medical Biller position at Kenney Orthopedics?
Division: Corporate Reports To: Revenue Cycle Manager Exempt Status: N
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Position Summary*:
This position is responsible for coordinating the flow of financial information between the patient, practitioner, and insurance company to ensure timely receipt of payment for services.
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Essential Job Duties: *
* Must have reliable High Speed Internet * This is a remote work from home full-time position in the Lexington, KY area.
- Verify patient’s insurance participation and identify any policy exclusions of orthotics & prosthetics
- Obtain Documentation for Medical Necessity
- Communicate effectively with all Kenney Orthopedic offices and staff
- Pre-certification / pre-authorizations and filing appeals on denied pre-certification / pre-authorizations
- Billing insurance claims within timely filing limits
- Promptly verify receipt of any submitted claims or appeals
- Communicate effectively with all payers to receive payment
- Utilize all available payer websites to track the progress of claims submitted
- Follow up with claim denials within timely filing limits
- File appeals, redeterminations & reconsiderations within timely filing limits
- Other duties as assigned
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Skills/Qualifications/Work Requirements: *
- High school diploma or equivalent
- 5 year medical billing experience required
- Highly customer focused
- Organized, detail oriented, hard working & self motivated with effective time management skills
- Proficient in Microsoft Office and able to learn other computer programs easily
- Excellent communication skills
- Must be able to actively engage within the team and be a team player
Working Conditions:
Work is generally performed within an office environment with standard office equipment. Regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. Regularly required to stand, walk, stoop, kneel, or crouch. Must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and ability to adjust.
Job Type: Full-time