Why Orthofix?
We are a leading global spine and orthopedics company with a premier portfolio of biologics, innovative spinal hardware, bone growth therapies, specialized orthopedic solutions and a leading surgical navigation system. Our combined company is over 1,600 strong, with products distributed in 68 countries worldwide and a global R&D, commercial and manufacturing footprint, and this is just the beginning!
Come join our global team of dedicated professionals who through their extraordinary efforts demonstrate every day their commitment to our mission of improving the lives of patients. At SeaSpine and Orthofix our culture is built around Integrity and the core beliefs we live by: Exceed Expectations, Work Together, Be Respectful, Get Lean and Have Fun!
How you'll make a difference?
Billing Specialist is responsible for all billing all health insurance claims accurately and timely and will assist in resolving all claim rejections. The position requires a diligent individual with strong organization, time management and problem-solving skills.
What will your duties and responsibilities be?
The following are the essential functions of this position. This position may be responsible for performing additional duties and tasks as needed and assigned. Able to follow all work instructions to back up co-workers with all billing tasks.
Strong ability to apply payer requirements to ensure claims are submitted timely for billing - Primary, Secondary, etc. payers.
Strong understanding of Payer’s billing requirements (Federal & Commercial) and how to apply to billing tasks with limited guidance.
Advanced knowledge of navigating payer websites
Analyze Medical documents as needed to ensure accurate billing.
Assist peers with account resolution as needed.
Demonstrate effective interactions with peers and managements; maintain effective communication lines/methods; engage management to help in solving problems as needed.
Make daily decisions on how to bill according to established guidelines using strong knowledge of different billing types – Electronic, payer web billing, and hard copy bills.
Request information from other department that is needed for completion of billing.
Resolve HCFA/Billing issues, with limited guidance from teammates/manuals.
Respond to emails accurately and timely.
Responsible for managing and resolving assigned tasks in timely and effective manner through oracle and other systems and processes.
Responsible for managing their Ready to Bill Tasks to ensure claims are billed in a timely manner to meet department goals.
Setup new payers and update tables.
Working knowledge of EDI rejection terminology to be able to resolve rejections with limited guidance.
Use EDI terminology to work with IT and clearinghouses and payer to resolve issues.
Understand and promote Compliance adherence.
Timely Completion of all corporate and departmental training.
Promote and exude a positive work environment.
Regular Attendance required.
What skills and experience will you need?
The requirements listed below are representative of the education, knowledge, skill and/or ability required for this position.
Education/Certifications:
Experience, Skills, Knowledge and/or Abilities:
Strong understanding of ICD-10 and how is applies to Orthofix products.
Strong understanding of medical billing terminology
Excellent teamwork behaviors while abiding by Orthofix code of conduct.
Strong time management, organizational skills and written skills.
Strong utilization of computer skills. Able to run various programs with ease.
Strong verbal and written communication skills. Professionalism in all internal and external communications.
Strong Ability to handle multiple priorities and heavy volume while meeting all deadlines.
3-5 years Medical Billing
Detail oriented with emphasis on quality and timeliness.
Strong work ethic – supervision is minimal, yet assistance will be readily available as needed from leadership and other team members.
What qualifications are preferred?
The education, knowledge, skills and/or abilities listed below are preferred qualifications in addition to the minimum qualifications stated above.
Education/Certifications:
Additional Experience, Skills, Knowledge and/or Abilities:
PHYSICAL REQUIREMENTS / ADVERSE WORKING CONDITIONS
The physical requirements listed in this section include, but are not limited, to the motor/physical abilities, skills, and/or demands required of the position in order to successfully undertake the essential duties and responsibilities of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to allow qualified individuals with a disability to perform the essential functions and responsibilities of the position.
The anticipated base hourly rate for this position is $19.00 to $24.00 per hour, plus bonus, and benefits. The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type and years of experience within the industry, education, etc.
DISCLAIMER
The duties listed above are intended only as representation of the essential functions of this position. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and is subject to change at the sole discretion of the employer. Nothing in this document alters an employee’s at-will employment status.
We are committed to providing equal employment opportunities to all employees and applicants without regard to race (including traits historically associated with race, such as hair texture and protective hairstyles, including braids, locks, and twists), ethnicity, religion, religious creed (including religious dress and grooming practices), color, caste, sex (including childbirth, breast feeding, and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age (40 and over), protected medical condition (including cancer and genetic conditions), genetic information, disability (mental and physical), reproductive health decision-making, medical leave or other types of protected leave (requesting or approved for leave under the Family and Medical Leave Act or the California Family Rights Act), domestic violence victim status, political affiliation, or any other protected status in accordance with all applicable federal, state, and local laws.
This policy extends to all aspects of our employment practices including, but not limited to, recruiting, hiring, discipline, termination, promotions, transfers, compensation, benefits, training, leaves of absence, and other terms and conditions of employment.
