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Objective
The Orthopedic Bracing Eligibility Analyst plays a critical behind-the-scenes role in the billing process by ensuring patient insurance eligibility, benefits, and authorization requirements are accurately verified and documented prior to billing. This position is responsible for high-volume data entry, insurance verification, and account preparation, creating a seamless workflow that allows the billing team to efficiently process claims and maximize reimbursement. Ideal for someone looking to start a career in healthcare, this role provides exposure to medical billing, insurance operations, and revenue cycle management while developing valuable industry knowledge and administrative skills.
Key Functions
- Verify insurance eligibility and benefits for durable medical equipment orders.
- Research Medicare and Medicare Advantage plan coverage requirements.
- Access insurance and portals to review claims history and coverage details.
- Analyze information to determine coverage eligibility and billing requirements.
- Apply Medicare and insurance guidelines to support accurate billing decisions.
- Maintain accurate and complete records within company systems.
Competencies
- Eagerness to learn healthcare insurance, Medicare regulations, and billing processes.
- Strong data entry speed and accuracy
- Ability to manage multiple tasks and meet deadlines.
- Review and interpret information.
- Knowledge of governmental regulations, including HIPAA, OSHA, and other compliance programs
Qualifications
- Bachelor's degree preferred.
- Proficient in all aspects of computer work, excel experience preferred.
About Synergy Orthopedics
Synergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD, NC, and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.
Learn more about this Employer on their Career Site
