Analyst, Medical Billing

Job Purpose Review remittance advice forms to verify proper reimbursement and to make adjustments as necessary.

Key Responsibilities

  • Responsible for the analysis of patient records and verifying services complies with workers compensation regulations.
  • Processes bills and ensures that records for patients include all information required for Third Party reimbursement.
  • Verifies correct Third-Party coding the ensure prompt payment.

 Required Skills/Experience 

  • Must be CPC Certified
  • Must possess knowledge of ICD-10, CPT, HCPCS coding
  • Medical Terminology knowledge required.
  • Knowledge of computerized billing software and experience with HCFA’s and/or UB’s.
  • Associate’s Required, Bachelor’s degree preferred, with a concentration in Administration, Finance or Accounting.
  • Knowledge of workers’ compensation legal requirements and fee schedules a plus.

Analyst, Accounts Receivable

Job Purpose Responsible for day-to-day accounts processing. This position will require strong professional communication skills, attention to detail, problem solving skills, and the ability to carry out multiple tasks in a fast paced, changing environment.

Key Responsibilities

  • Consults with claims processors at the Third-Party Payer companies regarding disputes.
  • Follows up on all bills not processed within the usual claim period.
  • Stamps, files, and maintains all relevant accounting documents and files.

 Required Skills/Experience 

  • Bachelor’s degree or relevant equivalent work experience preferred
  • Must be computer literate and able to manage high volume of inbound calls.
  • Must have outstanding customer service, problem-solving and strong verbal communication skills.
  • Clear speaking voice is required.
  • Previous accounts receivable or accounts payable experience preferred.

Analyst, Accounts Payable

Job Purpose Responsible for day-to-day accounts processing. This position will require strong professional communication skills, attention to detail, problem solving skills, and the ability to carry out multiple tasks in a fast paced, changing environment.

Key Responsibilities

  • Responsible for the production of all non-payroll checks on a weekly basis.
  • Correctly enters bills with designated account codes into payable system.
  • Reconciles sales order documents and approved requisitions of received invoices.
  • Communicates with vendors the status of their bills and obtains any necessary information needed to complete the process.
  • Monitors cash outflow and outgoing checks to ensure that all necessary documents are submitted.

 Required Skills/Experience 

  • Bachelor’s degree or relevant equivalent experience preferred.
  • Must be computer literate and able to manage high volume of inbound calls.
  • Must have outstanding customer service, problem-solving and strong verbal communication skills.
  • Clear speaking voice is required.
  • Previous accounts receivable or accounts payable experience preferred.

Care Coordinator, (all shifts)

Job Purpose to provide customer service assistance to clients who are arranging for medical services or products to be provided to workers’ compensation patients. The Care Coordinator is the first and main point of contact for our clients and network providers.

Key Responsibilities

  • Responsible for assisting clients via phone, email, and fax.
  • Ability to answer questions regarding medical services/products and pricing.
  • Arrange for patients to receive medical services/products in a timely manner.
  • Locate vendors in areas when there is no network coverage.
  • Follow up with patients to make sure that all the services/products were provided and that the patient’s needs have been met.
  • Update clients verbally and via email throughout and following the order process.

 Required Skills/Experience 

  • Bachelor’s degree or relevant equivalent experience.
  • Strong organization, problem-solving and group work leadership skills.
  • Ability to interact with people of all ages and cultural backgrounds.
  • Sound, current computer and small office management skills.
  • Effective verbal and written communication skills with an outgoing personality.

Equal Employment Opportunity Statement

Orchid Medical is an equal opportunity employer and is committed to the principle of equal employment, free of discrimination or harassment. All employment decisions at Orchid Medical are based solely on business needs, job requirements and individual qualifications.