Job Description
Elite Sports Medicine + Orthopedics is seeking a Billing Specialist focused on insurance collections. The role involves working on aging reports, managing denials, and ensuring proper documentation in the practice management system. Responsibilities Work Insurance Aging with a focus of 61 days and older aged accounts Working Work Comp Properly communicate and document denials in the practice management system Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates Submit appeals for denied claims Research and resolve outstanding claim issues Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor Review payer specific communication and update necessary team members and departments Identify trends in denials and communicate to your supervisor Respond to written and telephone billing inquiries from patients Participate in weekly team meetings Other miscellaneous tasks delegated by management Skills High school diploma required Work Insurance Aging with a focus of 61 days and older aged accounts Working Work Comp Properly communicate and document denials in the practice management system Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates Submit appeals for denied claims Research and resolve outstanding claim issues Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor Review payer specific communication and update necessary team members and departments Identify trends in denials and communicate to your supervisor Respond to written and telephone billing inquiries from patients Participate in weekly team meetings Other miscellaneous tasks delegated by management Knowledge of Billing and Collections procedures Knowledge of CPT and ICD-10 CM coding Knowledge of MS Office Suite, especially Word, Excel and Outlook Excellent written and verbal communication abilities Goal-oriented and strong attention to details Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process College education or trade school preferred Experience working in a physician office or hospital billing-type position preferred Orthopedic claims experience is preferred Proven record of discussing financial responsibilities and establishing payment plans when necessary Comfortable using email and interacting various applications Benefits Three Medical Plans Options (your choice of a PPO or HDHP) Dental and Vision Coverage Health Savings Account (with HDHP) Employee Assistance Program Company Provided Basic Life, AD&D and Long-Term Disability Voluntary Life and Short-Term Disability PTO Accrual Paid Holidays 401(k) + employer match Company Overview Elite Sports Medicine + Orthopedics is a medical practice company that provides orthopedic care and services for musculoskeletal pain.
It was founded in 2005, and is headquartered in Nashville, Tennessee, USA, with a workforce of 201-500 employees. Its website is