What are the responsibilities and job description for the Medical Billing and Medical Records Specialist position at Irvin Sahni, MD, PA?
Spine Center of Texas is seeking an experienced, detail-oriented Medical Billing & Medical Records Specialist to join our team in our Seguin office. We are looking for someone with strong experience in medical billing, insurance follow-up, accounts receivable (A/R), and medical records management. This position plays a vital role in ensuring accurate claim submission, timely reimbursement, and efficient processing of medical records while providing excellent support to our providers and patients.
Responsibilities
- Submit and monitor medical claims to commercial insurance, Medicare, Medicaid, and Workers' Compensation carriers.
- Perform aggressive insurance follow-up on unpaid, denied, and underpaid claims.
- Research claim denials and prepare corrected claims, reconsiderations, and appeals.
- Work and manage assigned Accounts Receivable (A/R) to maximize collections.
- Verify patient insurance eligibility and benefits for office visits, procedures, and surgeries.
- Review documentation for completeness and accuracy prior to claim submission.
- Collaborate with providers and clinical staff to resolve documentation or coding discrepancies.
- Maintain accurate patient medical records and process requests for medical records in accordance with HIPAA regulations.
- Upload, organize, and maintain electronic medical records.
- Ensure compliance with all federal, state, and payer-specific billing regulations.
- Communicate professionally with insurance companies, patients, and providers regarding billing and medical record requests.
- Assist with other administrative duties as needed.
Qualifications
- Minimum 2 years of medical billing experience required.
- Accounts Receivable (A/R) experience is required.
- Experience working medical claim denials, appeals, and insurance follow-up.
- Medical records experience preferred.
- Knowledge of CPT, ICD-10-CM, and HCPCS coding principles.
- Experience with Electronic Health Records (EHR) and practice management software.
- Strong understanding of medical terminology and insurance guidelines.
- Excellent organizational skills with exceptional attention to detail.
- Ability to prioritize tasks and work independently in a fast-paced medical office.
- Strong written and verbal communication skills.
- Orthopedic, spine, pain management, or surgical practice experience is a plus.
What We're Looking For
We are looking for someone who is dependable, motivated, and takes pride in seeing claims through to payment. The ideal candidate is proactive, enjoys problem-solving, and is committed to helping our practice maintain accurate records and maximize reimbursement.
If you have the experience we're looking for and want to become part of a growing specialty medical practice, we'd love to hear from you.
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $18 - $21