What are the responsibilities and job description for the Medical Billing Specialist - Orthopaedics position at South Carolina Sports Medicine?
We are a busy, well-established orthopaedic practice seeking an experienced Medical Biller to join our dedicated administrative team. The ideal candidate is detail oriented, organized, and knowledgeable in all aspects of medical billing and revenue cycle management. If you thrive in a fast-paced healthcare environment and are committed to providing exceptional support, we'd love to hear from you.
Responsibilities
- Process and submit accurate medical claims to insurance carriers.
- Follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement.
- Review and resolve billing edits, claim rejections, and payment discrepancies.
- Verify insurance benefits and eligibility when needed.
- Communicate professionally with insurance companies, patients, and providers regarding billing inquiries.
- Maintain compliance with HIPAA and all applicable billing regulations.
- Work collaboratively with providers and office staff to optimize the revenue cycle.
Qualifications
- Minimum of 3 years of medical billing experience (orthopaedic or specialty practice experience preferred).
- Strong knowledge of CPT, ICD-10, and HCPCS coding related to orthopaedics.
- Experience working with commercial insurance, Medicare, Tricare and workers' compensation claims.
- Proficiency with electronic medical records (EMR) and practice management software (ATHENA)
- Excellent attention to detail, organizational skills, and problem-solving abilities.
- Strong communication and customer service skills.
- Ability to manage multiple priorities in a fast-paced environment.
We Offer
- Competitive pay based on experience.
- Health, dental, and vision benefits
- Paid time off and holidays.
- 401-K Retirement plan
- Supportive team environment.
- Opportunity for long-term growth with a respected orthopaedic practice.
If you are an experienced medical biller who is passionate about accuracy, efficiency, and providing excellent service, we encourage you to apply. Please submit your resume and a brief cover letter outlining your experience.