OrthoMed Anesthesia is seeking a detail-oriented Healthcare Claims Intake Specialist to join our growing anesthesia practice management team. This role is critical in ensuring accurate and timely processing of healthcare claims for our anesthesia providers.
Job Overview
As a Healthcare Claims Intake Specialist, you will serve as the first point of contact for all incoming claims, working directly with our clinical and administrative teams to maintain the revenue cycle integrity that supports our organization. This position requires meticulous attention to detail and a thorough understanding of anesthesia-specific billing requirements, as you will be responsible for reviewing complex procedural documentation and ensuring compliance with ever-changing insurance regulations. This is a full-time position based at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours.
Key Responsibilities
- Claims Processing: Review, verify, and process incoming healthcare claims for anesthesia services
- Data Entry: Accurately input patient information, procedure codes, and billing details into practice management systems
- Insurance Verification: Verify patient insurance coverage and benefits prior to procedures
- Documentation Review: Ensure all required documentation is complete and compliant with insurance requirements
- Follow-up: Track claim status and follow up on pending or denied claims
- Communication: Coordinate with healthcare providers, insurance companies, and patients regarding claim issues
Required Qualifications
- High school diploma or equivalent; Associate's degree in healthcare administration preferred
- 2+ years of experience in medical billing or claims processing
- Knowledge of CPT, ICD-10, and HCPCS coding systems
- Familiarity with anesthesia billing procedures and ASA modifiers
- Proficiency in practice management software and EMR systems
- Strong attention to detail and organizational skills
- Excellent communication and problem-solving abilities
At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment.
Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become a key player in shaping our organization's future!
Skills Required
- High school diploma or equivalent
- Associate's degree in healthcare administration
- 2 or more years of experience in medical billing or claims processing
- Knowledge of CPT, ICD-10, and HCPCS coding systems
- Familiarity with anesthesia billing procedures and ASA modifiers
- Proficiency in practice management software and EMR systems
- Strong attention to detail and organizational skills
- Excellent communication and problem-solving abilities
What We Do
OMS Medical Billing LLC provides high-quality medical billing services to medical providers, helping them manage revenue cycle and practice management. The company describes its mission as delivering high-quality service tailored to clients’ project needs through open communication. Its listed work covers revenue-cycle training and enablement, accounts-receivable follow-up, denied-claim resolution, claims intake, and billing education. It serves healthcare-provider operations from its Addison, Texas headquarters.
