Medical Billing Specialist (Workers' Compensation)
Medical Billing Specialist (Workers' Compensation)
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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 Medical Billing Specialist (Workers Compensation) 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 forward-thinking 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 Medical Billing Specialist you will:
- Prepares and reviews Durable Medical Equipment Prosthetics/Orthotics & Supplies (DMEPOS) claims for accuracy completeness and obtains any missing information prior to finalization of claim for submission.
- Verifies correct payor selection.
- Checks eligibility and verifies benefits for products dispensed.
- Utilizes insurance carrier portals for eligibility and claims information.
- Obtains authorization and pre-authorization as required.
- Works in conjunction with the Health Information Management (HIM) department to ensure submission of clean claims.
- Answers questions from patients clerical staff and insurance companies.
- Uses knowledge of standard medical terminology basic human anatomy and orthopedic diagnoses ICD-10 codes.
- Resubmits claims to insurance companies as necessary.
- Reviews denial trends to understand issues and corrective actions.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Assists in development and communication of SOPs for key areas to improve accuracy and understanding of processes.
- Achieves team goals while demonstrating organizational values and utilizing resources responsibly.
- Meets daily weekly and monthly objectives including claim processing revenue and achievement of scorecard expectations.
- Cross trains within the billing department to provide coverage when necessary.
- Promotes Bregs culture of accountability by demonstrating and exemplifying Bregs cultural beliefs.
- Supports all other medical billing and collection tasks as required.
- Collaborate with cross-functional teams to drive excellence in patient care and business solutions.
What You Bring
- High School diploma or equivalent required.
- A minimum of 1 years of recent experience in medical billing required.
- A minimum of 2 years of recent Workers Compensation billing required.
- Experience with a variety of payor groups required
- Knowledge of CPT ICD-10 and HCPCS coding and insurance billing rules.
- Proficient in Microsoft Excel Word and electronic e-mail systems.
- Ability to work in a fast-paced environment while remaining calm and professional.
- Ability to maintain consistent regular attendance and punctuality.
- Proficient in computers and relevant software application and practice management technology.
- Possession of strong problem-solving skills and sound judgement.
- Excellent organizational skills and ability to multitask.
- Exhibits 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.
- Work-Life Balance: Paid Time Off (PTO) and company-paid 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: $21.50-$28.50/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 full-time basis. The Company will not sponsor applicants for work visas for this position.
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Required Experience:
Unclear Seniority
Employment Type
Full-Time
