Billing Speciialist

We are seeking a detail-oriented and experienced Medical Billing Specialist to join our orthopedic practice. The ideal candidate will have a strong background in medical billing, specifically within the orthopedic field, and possess expertise in denial management and payment posting processes. The Medical Billing Specialist will be responsible for ensuring accurate and timely billing and reimbursement for services rendered, while also effectively managing denials and posting payments.

Key Responsibilities:

• Process billing for orthopedic services in accordance with insurance guidelines and regulations.
• Review and verify accuracy of coding and documentation for claims submission.
• Investigate and resolve billing discrepancies and denials in a timely manner.
• Communicate with insurance companies, patients, and providers to address billing inquiries and appeals.
• Utilize knowledge of orthopedic procedures and coding guidelines to maximize reimbursement.
• Post payments accurately and reconcile accounts receivable.
• Maintain up-to-date knowledge of billing regulations, payer policies, and coding updates.
• Collaborate with internal teams to improve billing processes and optimize revenue cycle performance.
• Generate reports and analyze billing data to identify trends and opportunities for improvement.
• Provide training and support to staff on billing procedures and compliance requirements.

Qualifications:

• Minimum of 2-3 years of experience in medical billing, preferably in orthopedics.
• Proficiency in medical billing software and electronic health records (EHR) systems including EPIC. WebPT/Therabill
• Strong understanding of medical terminology, CPT, HCPCS, and ICD-10 coding.
• Demonstrated experience in denial management and appeals process.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Detail-oriented with a high level of accuracy.
• Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) certification preferred.
• Familiarity with insurance verification and authorization processes.

Join our team and contribute to providing high-quality orthopedic care while ensuring efficient and compliant billing practices. If you meet the qualifications and are passionate about making a difference in healthcare, we encourage you to apply.