Medical Billing Specialist

Role Overview

• Process and submit insurance claims accurately and efficiently.
• Manage claim denials and follow up to ensure proper reimbursement.
• Collect and process patient payments and virtual credit card payments.
• Reconcile unapplied credit balances and explanation of benefits (EOBs).
• Verify patient insurance coverage and eligibility.
• Answer billing queue calls and voicemails, assisting patients with billing inquiries.
• Maintain compliance with HIPAA, coding guidelines, and insurance policies.
• Collaborate with teammates to ensure proper documentation and coding.

Requirements

• Experience working in a medical office is required; orthopedic experience is a plus.
• Experience working with Athena (EMR system) is a plus.
• Understanding of CPT, ICD-10, and HCPCS coding.
• Strong attention to detail and ability to work in a fast-paced environment.
• Excellent communication and problem-solving skills.
• Ability to maintain patient confidentiality and adhere to HIPAA regulations.

Benefits

• Competitive salary and benefits package.
• A supportive and collaborative team environment.
• Opportunities for professional growth and development.
• Be part of a practice that values quality patient care and innovation.