Overview We are seeking an experienced, detail-oriented Medical Billing Specialist to join our billing team. This position will be responsible for both charge entry and insurance follow-up, including accurately entering charges, reviewing claims, researching unpaid or denied claims, and working outstanding accounts through resolution. The ideal candidate will have a minimum of 2 years of medical billing experience and a solid understanding of the medical billing and revenue cycle process. Orthopedic billing experience is strongly preferred. We are looking for someone who is organized, dependable, productive, and able to take ownership of their assigned accounts from charge entry through payment resolution.

Responsibilities:

Charge Entry:

Accurately and efficiently enter patient charges based on provider documentation Review charges for completeness and accuracy prior for completeness and accuracy prior to claim submission Review CPT, ICD-10, and modifier information for accuracy Identify missing, incomplete, or inconsistent information and communicate with the appropriate staff to obtain clarification Ensure charges are entered within established timelines Maintain a high level of accuracy while managing a high-volume workload Review rejected claims and correct charge-related issues when necessary

Insurance Follow-Up/ Accounts Receivable:

Follow up on unpaid, underpaid, rejected, and denied insurance claims Work assigned accounts receivable going report consistently and efficiently Contact insurance carriers and utilize payer portal to research claim status Identify the reason for nonpayment or denial and take appropriate action to resolve outstanding balances Correct and resubmit claims when necessary Review Explanation of Benefits (EOBs) and Electron Remittance Advices (ERAs) Prepare and submit appeals and supporting documentation when appropriate Document all follow-up activity clearly and accurately in the billing system Work accounts through resolution rather than simply documenting claim status Qualifications Minimum of 2 years of medical billing experience required Experience with charge entry and insurance follow-up/AR required Orthopedic billing experience strongly preferred Strong knowledge of CPT, ICD-10, modifiers, and medical terminology Understanding of commercial insurance, Medicare, and other third-party payer requirements Experience researching denied, rejected, and unpaid claims Ability to read and understand EOBs and ERAs Strong attention to detail and commitment to accuracy Excellent organizationaland time-management skills Strong problem-solving and analytical skills Professional written and verbal communication skills This is an excellent opportunity for someone with strong medical billing experience who enjoys working accounts from the initial charge through final resolution and wants to be part of a busy, collaborative medical practice.

Pay:

$23.00 - $28.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person