Advanced Oxygen Therapy, Inc. (AOTI) provides innovative solutions to help resolve chronic non-healing and acute complex wounds. We operate on the core values of Compassion, Integrity, Scientific Leadership, Service and Responsiveness. AOTI is recognized as a leader in wound care technology around the world. With a leading international management team, an extensive worldwide infrastructure, innovative, patented technology, and an extensive and growing portfolio of clinical evidence, our company is uniquely positioned to revolutionize the treatment of all wounds.
LOCAL APPLICANTS ONLY (resides within 60 miles of Exton, PA)
Job Summary
The Medical Billing Specialist will process and follow up on medical billing, review remittance advice forms to verify proper reimbursement, and adjust as necessary. General Accountabilities
• Ensures medical records for patients include all information required for Medicaid, Medicare, and commercial reimbursement.
• Verifies correct ICD-10 coding to ensure prompt payment.
• Inputs correct billing information and sends to the carrier.
• Assists with collections follow up on unpaid claims to maximize cash flow.
• Reviews remittance advice forms to determine any adjustments made to bills as submitted.
• Adjusts claims to correct errors.
• Recognize, flag, and resolve payor issues as they arise.
• Assists in compiling claims appeals and reconsideration requests as necessary.
• Assists in reviewing claims for accuracy before submission.
• Follow company policies and procedures.
• Responds in a timely manner to all internal and external inquiries.
• Assists and communicates with all departments to help increase efficiency and accuracy.
• Help train new hires on process and procedures within the department.
• Maintain training tools and develop new training tools as needed.
• Perform technical and customer support, as needed.
• Performs all necessary administration tasks when necessary.
• Maintain accurate data and in third-party billing and in-house ERP systems.
• Future cross-training in authorizations.
• Performs other tasks as assigned.
Qualifications
· High School diploma or equivalent required, Bachelors in related field preferred.
· Position requires at least 2 years of medical office/provider/billing/collections work experience with insurance procedures.
· Must have excellent communication skills, written and verbal. Proficiency with computer, internet, and Microsoft Office (Outlook, Word, and Excel).
· Problem Solving - Identifies and resolves problems time efficiently; Gathers and analyzes information; Develops solutions; Uses reason.
· Demonstrate an understanding of patient confidentiality to protect the patient and corporation
Physical Demands
- Occasionally required to sit.
- Occasionally required to walk.
- Occasionally required to use hands to finger, handle, or feel.
- Occasionally required to reach with hands and arms.
- Occasionally required to talk or hear.
- Occasionally required to bend, lift or climb.
- Occasionally required to lift light weights (less than 25 pounds).
- Occasionally required to lift moderate weights (25-50 pounds).
- Finger dexterity required.
- Hand coordination required.
Work Environment
- Possible risk of electrical shock.
- The noise level in the work environment usually is speaking level.
Please note that any offer of employment made by AOTI is contingent upon the successful completion of a pre-employment background investigation.