Workers Compensation Billing Specialist
Workers Compensation Billing Specialist
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Job Description
Join Our Team and Keep Moving Forward with Breg!
At Breg we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry we provide innovative products consulting technology and services that help people move forward with confidence.
We are currently seeking a Workers Compensation Billing Specialist to join our team in Carlsbad CA. If you thrive in a dynamic environment where innovation and impact go hand in hand this is the opportunity for you.
Who You Are
You are a forwardthinking professional who values collaboration innovation and making a meaningful difference. You bring expertise in the ability to communicate effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.
What Youll Do
As a Workers Compensation Billing Specialist you will:
- Reviews Workers Compensation (WC) claims to ensure eligibility correct payer selection proper documentation and authorization are met to achieve successful payment of claims while providing exceptional customer service to patients business partners and customers.
- Identifies and resolves discrepancies ensuring accurate and timely payments.
- Works in conjunction with the Health Information Management (HIM) department to ensure accurate claim information is obtained.
- Interacts with insurance carriers providers adjusters patients and internal stakeholders to finalize claims with missing information and addresses billing inquiries.
- Proactively works to secure incomplete data for clean claim submission including utilizing Electronic Medical Record (EMR) access payor portals submitting traditional medical record requests and contacting payers patients providers Sales Representatives WC Adjuster and Employers.
- Obtains authorization and preauthorization as required.
- Tracks outstanding balances followsup on payments/underpayments.
- Researches and resolves claim denials and rejections working proactively to identify trends and implement corrective actions.
- Assists and participates in process improvement activities as a Workers Compensation subject matter expert.
- Uses knowledge of standard medical terminology basic human anatomy and orthopedic diagnoses ICD10 codes.
- Meets daily weekly and monthly objectives including claim processing revenue and achievement of performance metrics.
- Supports all other medical billing and collection tasks as required.
- Responsible for behaving in a professional manner both internally and externally in relationships that positively impact the companys reputation and comply with the companys policies and practices.
- Responsible for being accountable and committed to demonstrating Bregs cultural beliefs and achieving the key results of the company.
- Responsible for promoting Bregs culture within the organization using established tools such as storytelling providing focused feedback and recognition. The performance of the position is aligned with the culture of commitment and accountability following the steps of: See it Own it Solve it and Do it.
- Collaborate with crossfunctional teams to drive excellence in patient care and business solutions.
What You Bring
- High school diploma or equivalent required.
- A minimum of 5 years of experience in Workers Compensation billing required.
- Advanced knowledge of Workers Compensation billing processes and payer policies for various states.
- Detailoriented with the ability to meet deadlines and manage multiple priorities.
- Knowledge of CPT ICD10 and HCPCS coding and insurance billing rules.
- Proficient in Microsoft Excel Word and electronic email systems.
- Proficient in computers and relevant software application and practice management technology.
- Excellent organizational skills and ability to multitask.
- Exhibit high level of quality through attention to detail and monitoring of work.
- Excellent verbal and written communication skills as well as exceptional interpersonal communication skills.
- A passion for innovation and a commitment to Bregs mission to Keep Moving Forward.
Why Breg
At Breg we invest in our people and culture. We offer:
- Comprehensive Benefits: Medical dental vision disability and life insurance effective the first of the month after hire.
- WorkLife Balance: Paid Time Off (PTO) and companypaid holidays.
- Growth & Development: Opportunities for professional advancement within a company that values your contributions.
- Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer fostering a diverse and inclusive workplace.
- For more information regarding Company benefits please see Schedules include.
- May include variable start/end times outside of the companys standard business hours of 8:00 a.m. 5:00 p.m.
Compensation
Salary Range: $24.07$30.96/hr. Actual compensation is determined by factors such as experience skills and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate including but not limited to geographical location work experience skill set relevant trainings and certifications and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus.
Ready to Move Forward
If youre ready to be part of a company that is redefining orthopedic care apply today at is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.
Applicants must be currently authorized to work in the United States on a fulltime basis. The Company will not sponsor applicants for work visas for this position.
#LIAC2
Required Experience:
Unclear Seniority
Employment Type
Full-Time
