What are the responsibilities and job description for the Billing Customer Services Representative position at Total Orthopedics and Sports Medicine?
Billing Customer Service Representative
Our growing orthopedic practice is seeking a Billing Customer Service Representative
to assist patients with billing inquiries, payment processing, and insurance claim
resolutions. This role requires strong communication skills, attention to detail, and a
solid understanding of medical billing processes, particularly in orthopedic services. The
ideal candidate is customer service-oriented and comfortable working in a fast-paced
healthcare environment.
Responsibilities
Handle patient inquiries regarding billing statements, insurance coverage,
co-pays, deductibles, and payment plans.
Explain orthopedic procedure costs, including surgeries, imaging (X-rays,
MRIs), and durable medical equipment (DME).
Process payments, set up payment arrangements, and assist with
financial hardship applications.
Investigate and resolve claim denials, coding errors, and billing
discrepancies by coordinating with insurance companies and internal
billing teams.
Verify insurance coverage and benefits for orthopedic procedures and
ensure proper documentation.
Work closely with orthopedic providers, medical coders, and front desk
staff to ensure accurate charge entry and claim submission.
Educate Patients About Prior Authorization Requirements And Out-of-pocket
costs.
Maintain accurate patient account records and update payment statuses
in the practice management system.
Ensure compliance with HIPAA, Medicare, and other billing regulations
related to orthopedic care.
Assist with administrative tasks such as billing reports and reconciliation of
outstanding balances.
Qualifications
High school diploma or equivalent (Associates degree or certification in
medical billing is a plus).
1-2 years of experience in medical billing, customer service, or a
Healthcare Setting (orthopedic Experience Preferred).
Knowledge of insurance policies, EOBs, ICD-10, CPT codes, and
orthopedic procedure billing.
Proficiency in billing software (such as NextGen, Athenahealth, or other
EHR systems).
Strong problem-solving skills to resolve patient and insurance billing
concerns.
Excellent verbal and written communication skills to interact professionally
with patients and insurance representatives.
Ability to multi-task and work efficiently in a high-volume orthopedic
practice.
Familiarity with workers compensation, auto injury claims, and prior
authorizations is a plus.
Work Environment & Schedule
Full-time (40 hours)
Office-based role with potential hybrid work options depending on practice
policies
Our growing orthopedic practice is seeking a Billing Customer Service Representative
to assist patients with billing inquiries, payment processing, and insurance claim
resolutions. This role requires strong communication skills, attention to detail, and a
solid understanding of medical billing processes, particularly in orthopedic services. The
ideal candidate is customer service-oriented and comfortable working in a fast-paced
healthcare environment.
Responsibilities
Handle patient inquiries regarding billing statements, insurance coverage,
co-pays, deductibles, and payment plans.
Explain orthopedic procedure costs, including surgeries, imaging (X-rays,
MRIs), and durable medical equipment (DME).
Process payments, set up payment arrangements, and assist with
financial hardship applications.
Investigate and resolve claim denials, coding errors, and billing
discrepancies by coordinating with insurance companies and internal
billing teams.
Verify insurance coverage and benefits for orthopedic procedures and
ensure proper documentation.
Work closely with orthopedic providers, medical coders, and front desk
staff to ensure accurate charge entry and claim submission.
Educate Patients About Prior Authorization Requirements And Out-of-pocket
costs.
Maintain accurate patient account records and update payment statuses
in the practice management system.
Ensure compliance with HIPAA, Medicare, and other billing regulations
related to orthopedic care.
Assist with administrative tasks such as billing reports and reconciliation of
outstanding balances.
Qualifications
High school diploma or equivalent (Associates degree or certification in
medical billing is a plus).
1-2 years of experience in medical billing, customer service, or a
Healthcare Setting (orthopedic Experience Preferred).
Knowledge of insurance policies, EOBs, ICD-10, CPT codes, and
orthopedic procedure billing.
Proficiency in billing software (such as NextGen, Athenahealth, or other
EHR systems).
Strong problem-solving skills to resolve patient and insurance billing
concerns.
Excellent verbal and written communication skills to interact professionally
with patients and insurance representatives.
Ability to multi-task and work efficiently in a high-volume orthopedic
practice.
Familiarity with workers compensation, auto injury claims, and prior
authorizations is a plus.
Work Environment & Schedule
Full-time (40 hours)
Office-based role with potential hybrid work options depending on practice
policies