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Worker's Compensation and Personal Injury Medical Insurance Biller

icon building Company : Primus Ortho
icon briefcase Job Type : Full Time
icon geo-alt Orland Hills, United States

Job Description - Worker's Compensation and Personal Injury Medical Insurance Biller



  • Prepare and submit claims, electronically or by paper, for Clinic, Surgical, Physical Therapy & Orthopedic departments to various insurance companies. 


  • Post Payments for Clinic, Surgical, Physical Therapy & Orthopedic departments. 


  • Follow up with Doctors and other clinical staff for any missing information as it pertains to billing.


  • Verify benefits or obtain authorization, referrals, etc. as needed.



  • Medical coding: Creates accurate medical coding.




  • Billing forms: Submits billing forms to the Workers' Compensation


  • Review and follow-up: Reviews the processing and payments, and follows up on claims that are denied.


  • Appeal any and all denials for Clinic, Surgical, Physical Therapy & Orthopedic departments. 


  • Communicate benefits to the Medical Assistants, Front Desk & Physical Therapy Department by set deadlines.


  • Explain benefits or answer any other insurance related questions from patients.


  • Analyze, prepare and mail patient statements, implement and follow up on patient payment plans and collect patient balances.


  • Resolve any patient complaints in a professional and courteous manner.


  • Prepare accounts for collection agency that have been deemed non-collectible.


  • Meticulous Accounts Receivable collection and follow-up with insurance and patients weekly


  • Presenting weekly reports showing progress.


  • Review Charts and Submit WMC Department Authorization Requests.


  • Follow up with WMC Coordinator, and or Front Desk to obtain proper insurance and/or billing information.


  • Answer e-mail and/or voicemails in a timely and professional manner.


  • Special projects as needed when determined by supervisors or management.

  • Be responsible for maintaining accurate records and providing detailed, professional notes in patient files.

  • Review Explanation of Benefits to determine next appropriate steps to seek authorization for patient treatment

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