Ortho Sport & Spine Physicians is a nationally recognized center of excellence in orthopedic sports medicine, orthopedic spine surgery, and interventional spine treatments. We have locations throughout the United States that specialize in providing state-of-the-art, minimally invasive treatments for complex neck and spine problems as well as sports-related injuries and conditions.

Job Summary:

We are seeking a qualified and dedicated Billing Specialist to join our Revenue Cycle team. In this position, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments.
To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.
The ideal candidate must be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job.

Duties and Responsibilities:

• Prepare and submit billing data and medical claims to insurance companies.
• Ensure the patient’s medical information is accurate and up to date.
• Prepare bills and invoices, and document amounts due for medical procedures and services.
• Collect and review referrals and pre-authorizations.
• Monitor and record late payments.
• Follow-up on missed payments and resolve financial discrepancies.
• Examine patient bills for accuracy and request any missing information.
• Investigate and appeal denied claims.
• Initiate private pay collections after insurance cancellation, denial, or other financial issues
• Help patients develop patient payment plans.
• Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.

REQUIREMENTS:

• A minimum of 2 years’ experience as a Medical Biller or similar role.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.
• Productivity Driven.

Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

Job Type: Full-time