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ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. ORA holds all of our staff members accountable for providing high-level care, maintaining patient confidentiality, and complying with all HIPAA rules and regulations.

Title: Coding Specialist/Account RepresentativeEmployment Type:Full-TimeWork Hours:Monday through Friday, 8:00 am to 4:30 pmCity:BettendorfState:IowaWe care about our employees! We value and respect the talented and committed people who make up our practice. Be a part of an organization that works to make a difference in the lives of its patients by encouraging you to be your best every day. Position Responsibilities:In this position, you'll be responsible for collecting patient payments and setting up payment agreements. Researching and correcting all errors resulting from data entry. Responsible for answering incoming insurance and billing phone calls. Verifying insurance coverage and pre-certification requirements. Responsible for registering patients in the practice management system, attaching insurance information, and verifying insurance. Responsible for patient estimates, scanning into systems, and communicating with patients. Responsible for staying current on third-party payer benefits/managed-care programs and all medical insurance terms, trends, and changes in the laws and regulations that govern medical coding, as well as business office functions. ORA holds all of our staff members accountable for providing high-level care, maintaining patient confidentiality, and complying with all HIPAA rules and regulations. As a member of our ASC team, you're actively involved in work that makes a significant difference in the lives of our patients.Requirements:This position requires a high school diploma or equivalent. Certification in medical coding is required. COSC - Certified Orthopedic Surgery Coder- is preferred. Previous experience in the healthcare setting is required. Prior customer service experience is preferred. Displays excellent interpersonal, oral, and written communication and computer skills. Candidates must possess the ability to multitask and prioritize effectively, as well as communicate and interact with patients and their families clearly and effectively. Benefits:Click here for more information about the benefits offered as part of our employment package with ORA Orthopedics. Please note that some benefits are dependent upon the position and employment status held. <a href="https://urldefense.com/v3/__https:/flimp.live/ORAOrthopedicsBenefitSummary__;!!NLKv05uhAk4EUA!v_VjnyQzQsLQdCtyNzbnyYO5PwDapL6ryQKnYPBbRFA5VLtoJxPxHPOQz24WKPHTgyawrmePzKi88O4oRbcKdCSyP780Uo8$" rel="nofollow">https://flimp.live/ORAOrthopedicsBenefitSummary</a> ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. For more information on our practice, visit our website at <a href="http://www.qcora.com" rel="nofollow">www.qcora.com</a>. Apply to join our team today! Job Posted by ApplicantPro

ORA Orthopedics

Coding Specialist/Account Representative, ORA ASC

Billing

Communication Skills

Compensation and Benefits

Computer Skills

Customer Support/Service

Data Entry

Establish Priorities

HIPAA (Health Insurance Portability and Accountability Act)

Health Insurance

Healthcare

Interpersonal Skills

Managed Care

Medical Coding

Medical Terminology

Multitasking

Orthopedic Surgery

Patient Care

Patient Confidentiality

Patient Registration

Presentation/Verbal Skills

Regulations

Third-Party Payer

Writing Skills

Talent Acquisition

ADAPTED_NOW

ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. Key responsibilities include answering incoming phone calls regarding insurance and billing inquiries, collecting patient payments over the phone, and addressing claim denials, credits, and accounts receivable for assigned accounts.

Title:Insurance SpecialistEmployment Type:Full TimeWork Hours:Monday through Friday, 8:00am - 5:00pmCity: BettendorfState:IowaWe care about our employees! We value and respect the talented and committed people that make up our practice. Be a part of an organization that works to make a difference in the lives of its patients by encouraging you to be your best every day. Position Responsibilities:In this role, you will be responsible for managing insurance and billing-related tasks to ensure accurate and efficient claims processing. Key responsibilities include answering incoming phone calls regarding insurance and billing inquiries, collecting patient payments over the phone, and addressing claim denials, credits, and accounts receivable for assigned accounts. This role involves troubleshooting denied and pending claims, processing credits, and rebilling accounts when necessary. Additional responsibilities include sending claims to secondary payers, researching and correcting data entry errors, submitting corrected claims, updating system code sets, gathering and loading information from payer websites, and running/creating claims reports. ORA holds all our staff members accountable for providing high-level care, maintaining patient confidentiality, and complying with all HIPAA rules and regulations.Requirements:This position requires a high school diploma or equivalent. Previous insurance experience in a medical office is preferred. A successful candidate will possess a strong understanding of customer service principles, be comfortable working in Microsoft Office programs (Word and Excel), and will have familiarity with insurance payers and medical terminology. Excellent interpersonal, oral, and written communication skills, strong attention to detail, organizational skills, and a compassionate and patient-focused approach are essential for success in this role.Benefits:More information about the benefits offered as part of our employment package with ORA Orthopedics is available here: https://flimp.live/ORAOrthopedicsBenefitSummary. Please note that some benefits are dependent upon the position and employment status held. ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. For more information on our practice, visit our website at www.qcora.com. Apply to join our team today!

Insurance Specialist

Accounts Receivable

Claims Processing

Credit Processing

Detail Oriented

Identify Issues

Insurance

Medical Billing

Medical Office

Microsoft Excel

Microsoft Office

Microsoft Word

Organizational Skills

Patient Care Denials

Telephone Skills

FULL_TIME

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Essential Duties and Responsibilities:- Lead the design and development of complex software applications from business requirements in collaboration with other team members- Investigate new solutions, tools, products, and techniques to incorporate into coding standards.- Troubleshoot complex issues and produce detailed proposals to resolve. - Support testing and remediate defects- Guide, coach, and mentor entry and mid-level developers Key Responsibilities:-Lead end to end Medicaid data conversion efforts, including planning, design, development, testing, and execution- Establish conversion strategies for migrating data between Medicaid systems while minimizing operational risk- Provide technical leadership to development teams- Serve as the primary technical point of contact for conversion-related decisions and issue resolution- Development & Technical Execution- Design and develop data extraction, transformation, and load (ETL/ELT) processes for large, complex datasets-Develop transformation logic to map legacy Medicaid data models to target system structures- Ensure conversion programs follow coding standards, performance expectations, and security practices- Review code, validate transformation rules, and oversee defect remediation- Optimize conversion performance to support high volume Medicaid datasets- Medicaid Domain Expertise- Lead conversion of core Medicaid data domains- Ensure conversions meet CMS, state Medicaid, and contractual requirements- Support regulatory, audit, and certification activities related to converted data- Testing, Validation & Reconciliation- Define and oversee data validation, reconciliation, and sign off processes- Partner with business, compliance, and QA teams to confirm completeness and accuracy- Ensure converted data supports downstream reporting, operations, and compliance needsMinimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required.- Equivalent combination of education and experience considered in lieu of degree.Program Specific Requirements- Bachelor's degree- 5+ years of hands-on development experience, with significant experience leading data conversions- Strong experience working with Medicaid data and healthcare systems- Advanced SQL skills and experience with relational databases (e.g., SQL Server, PostgreSQL)- Experience building ETL/ELT processes using custom code or integration tools- Excellent communication skills with both technical and non-technical stakeholdersProgram Specific Preferences- Experience migrating data between state Medicaid systems platforms- Experience supporting system certification, readiness reviews, or go live activities#HumanServices #maxcorpEEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 125,000.00 Maximum Salary $ 170,000.00 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=5951d883dbcbba74187ceecb09d98855&view" width="1"/>

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

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Coding Specialist/Account Representative, ORA ASC ORA Orthopedics

Insurance Specialist ORA Orthopedics

Data Conversion Lead Maximus

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