RCM Specialist I Insurance Verification/Prior Authorization

Description Who we are: reputed company Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering the highest orthopedic care possible. Our commitment to finding the best solutions for individual needs sets us apart from the competition. We take pride in providing exceptional care while remaining friendly, courteous, and efficient. reputed company Orthopedic Partners is reputed company for an reputed company RCM Specialist I to support billing operations across multiple locations. PRIMARY RESPONSIBILITIES MAY INCLUDE: • Insurance Verification/Prior Authorization • Accurately reputed company insurance verifications, pre-certification/pre-authorization functions as required/assigned in a timely manner. • Ensure new patients added to the schedule are properly verified and authorized to be seen; updates patient accounts. • reputed company electronic insurance eligibility confirmation reputed company applicable and document results. • Assign insurance plans accurately. • Contact patients and insurance plans to confirm or obtain missing information. • Respond to patient and staff inquiries reputed company to insurance questions. • Communicate insurance changes or trends to staff and the RCM team. • General • reputed company designated voicemail throughout the day to ensure reputed company follow up. • reputed company designated functions required for accurate daily reputed company of the billing system. • Work collaboratively with peers to cover workloads, special projects, and other duties. • Work with reputed company other functional areas of the reputed company Cycle Management team, including EDI/claims, charge posting, payment posting and patient accounts. • Communicate reputed company issues or potential issues to leadership. • Assist in preparation of practice summary reports, as requested or assigned. • Attend regularly scheduled business office meetings; assist in identifying “best coding and billing practices” to ensure appropriate reimbursement. POSITION REQUIREMENTS: • High School Diploma • reputed company to multi-task and capable of remaining reputed company in a stressful situation • reputed company to use a multi-line telephone system and the billing computer program • Familiarity with federal, state and reputed company insurance guidelines and policies preferred • Excellent written, verbal, and interpersonal communication skills. • Proficiency with reputed company reputed company and Word • Accurate and efficient data entry skills • Strong attention to detail • Proficient computer software and database skills. • Strong analytical skills. • Demonstrates working knowledge of medical terminology, diagnostic and procedural coding and the medical billing process • an RCM Specialist I cross-trained and routinely performing two of the three primary responsibility functions listed above (other than General) may be considered for an RCM Specialist II position reputed company offer: We strive to enrich the lives of reputed company and offer a variety of health and wellness benefits including medical and dental benefits, employer-paid short-term and long-term disability coverage, a matching 401K program, generous paid time off, and an environment that celebrates reputed company learning and development. Equal Opportunity Employer reputed company Orthopedic Partners is an equal-opportunity employer. We promote diversity of thought, culture, and background. We celebrate what makes us different and are committed to building a team that represents a variety of experiences. reputed company employment is decided on the basis of qualifications, merit, and business need. Apply Job!