Medical Billing Specialist Jobs

About The Position

Requirements

• Minimum of 3 years of medical billing experience (orthopaedic or specialty practice experience preferred).
• Strong knowledge of CPT, ICD-10, and HCPCS coding related to orthopaedics.
• Experience working with commercial insurance, Medicare, Tricare and workers' compensation claims.
• Proficiency with electronic medical records (EMR) and practice management software (ATHENA)
• Excellent attention to detail, organizational skills, and problem-solving abilities.
• Strong communication and customer service skills.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Process and submit accurate medical claims to insurance carriers.
• Follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement.
• Review and resolve billing edits, claim rejections, and payment discrepancies.
• Verify insurance benefits and eligibility when needed.
• Communicate professionally with insurance companies, patients, and providers regarding billing inquiries.
• Maintain compliance with HIPAA and all applicable billing regulations.
• Work collaboratively with providers and office staff to optimize the revenue cycle.

Benefits

• Health, dental, and vision benefits
• Paid time off and holidays.
• 401-K Retirement plan