Customer Support Service Representative III (Medical Billing)- Hybrid Schedule

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a sense of belonging. Our employees work together to uphold the standards of excellence and promote and environment of teamwork throughout the organization.

If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you!

This position is a hybrid schedule with rotating days in the office depending on department needs.

We are seeking a Customer Service Support III to work with our team in the OrthoCarolina Business Office. This position assists patients with their account questions and any questions pertaining to the business office. Additional responsibilities will include processing electronic insurance claims, along with generating and analyzing custom claims reports. Our Customer Support Services Representatives are responsible for the processing of insurance claims for secondary payers and processing credit card transactions and posting them to patient accounts. Other responsibilities include:

Insurance Analysis

• Reprocesses corrected and voided claims to all insurance companies.

• Perform final analyses of all Veteran Affairs, Davidson College, Community Care, Physician Reach out and Vocational Rehab accounts before month end.

Patient Research

• Ability to handle specialized escalated call related to financial accounts to include, contacting insurance, patients, vendors and any other related party to resolve the issue.

• Review all personal credits from task menu and prepare for processing.

• Process and prepare all personal refund reports and upload to Wells Fargo Portal daily.

Collection Analysis

• Formulate and establish adequate payment arrangements within Centricity for Main locations and Surgery Center.

• Construct and maintain auto- drafts for Surgery Center patients on a monthly basis.

• Responsible for posting and reconciling the daily payment report file from Wells Fargo.

A career at OrthoCarolina will provide you with opportunities for career advancement, dedicated peer support, and continuing education. Our company is committed to providing our employees with the utmost positive work environment. Benefits offered include:

• Medical, Dental, Vision Insurance

• Health Savings Account

• Life Insurance

• Voluntary Supplemental Life

• Voluntary Critical Illness/Accident/Hospital Indemnity

• Short Term/Long Term Disability Insurance

• 401(k)/ROTH Retirement Plan

• Employer 401(k) Safe Harbor

• 401(k) Profit Sharing Plan

• 529 Savings Plan

• Employee Assistance Program

• Voluntary Wellness Program

• Tuition Reimbursement

• Voluntary Legal Plan/Identity Theft

OrthoCarolina is one of the nation's leading independent academic orthopedics practices serving North Carolina and the Southeast since 1922. OrthoCarolina provides compassionate and comprehensive musculoskeletal care including operative and non-operative care, diagnostic imaging and rehabilitative therapy. Widely known for musculoskeletal research and training, OrthoCarolina physicians have specialized expertise in foot and ankle, hip and knee, shoulder and elbow, spine, sports medicine, hand, pediatric orthopedics, and physical medicine and rehabilitation. We commit to improving the lives of all we serve, by providing premier patient care and compassionate, personalized service. Over 300 OrthoCarolina providers see more than one million patient visits throughout western North Carolina each year.

Employee Type

Regular

Qualifications

Skills

Education

A.A, A.S, B.A., B.S., High School (Required)

Certifications

Language

Work Experience

Administrative Experience, Customer Service Experience, Healthcare Experience