What are the responsibilities and job description for the Medical Billing Specialist- Full Time- In-Person position at Lorain Injury Center?
Medical Billing Specialist – Workers' Compensation & Personal Injury Focus
Company Overview / Job Summary
Lorain Injury Center is a multidisciplinary Chiropractic clinic in Lorain, Ohio, offering Chiropractic, Physical Therapy, Massage, Acupuncture, Spinal Decompression, and more. We specialize in workers' compensation (BWC) injuries and personal injury cases while working with major insurance providers, managed care organizations, and other payers.
We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team. In this role, you will manage the full revenue cycle for medical claims, with a strong emphasis on workers' compensation billing, personal injury claims, and insurance follow-up. You will help ensure timely and accurate reimbursements so our patients receive the effective, efficient care they need.
This is a full-time, on-site position in Lorain, Ohio. Competitive pay based on experience, with benefits available.
Key Responsibilities
- Submit clean claims electronically and on paper to insurance carriers, including Ohio BWC (Bureau of Workers' Compensation), personal injury auto claims, major health insurers, and managed care organizations.
- Verify patient insurance eligibility, benefits, and authorization requirements prior to or at the time of service.
- Review medical documentation, charges, and coding (CPT, ICD-10) for accuracy and completeness before claim submission.
- Post payments, adjustments, and denials; reconcile accounts receivable (A/R) reports and aging.
- Manage claim denials, appeals, and resubmissions in a timely manner to maximize reimbursement.
- Handle workers' compensation forms, progress reports, and expedited treatment requests specific to BWC guidelines.
- Generate and send patient statements for balances not covered by insurance; assist patients with billing questions and payment arrangements.
- Communicate effectively with insurance adjusters, attorneys (for personal injury cases), providers, and patients to resolve billing issues.
- Maintain compliance with HIPAA, BWC regulations, and all applicable billing guidelines.
- Support audits and provide accurate completion of workers' compensation and insurance documentation.
- Collaborate with our clinical team to ensure seamless billing processes in our full-service workers' compensation clinic.
Qualifications & Requirements
- Minimum 2 years of experience in medical billing, preferably in a workers' compensation, personal injury, or multi-specialty clinic setting.
- Strong knowledge of Ohio BWC billing processes, forms, and requirements is highly preferred.
- Proficiency with medical billing software/EHR systems, electronic claim submission, and Microsoft Office (especially Excel).
- Familiarity with CPT, ICD-10 coding, and medical terminology.
- Experience with personal injury (PI) claims, liens, and attorney correspondence is a plus.
- Excellent attention to detail, organizational skills, and problem-solving abilities.
- Strong communication and customer service skills for interacting with patients, insurers, and internal team members.
- High school diploma or equivalent required; medical billing certification (e.g., CPB, CMBS) preferred.
What We Offer
- Competitive hourly wage (based on experience)
- Supportive team environment in a growing multidisciplinary clinic
- Opportunity to make a direct impact on patient care through efficient billing and reimbursement
- Training on our specific systems and BWC processes
If you are a proactive billing professional who thrives in a fast-paced healthcare setting and has experience with workers' compensation claims, we want to hear from you!
Pay: $19.00 - $20.00 per hour
Work Location: In person
Salary : $19 - $20