The Billing Specialist plays a critical role in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and revenue collection for a wide range of orthopedic services. This position is responsible for follow-up and resolution to optimize reimbursement from insurance carriers and patients on a timely basis.
The role serves as a key liaison between patients, providers, and insurance companies to help ensure timely reimbursement and optimal revenue performance. Responsibilities include managing the full lifecycle of medical claims, from charge entry and claim submission to payment posting, denial management, and patient billing.
Qualifications
- High school diploma or equivalent required; associate degree or certification in medical billing/coding (such as CMB or CMRS) strongly preferred
- Minimum 2 years of billing experience in a healthcare setting, preferably orthopedics or surgical specialties
- Proficiency in CPT, ICD-10, and HCPCS coding specific to musculoskeletal and surgical services preferred
- Knowledge of EMR systems such as Medent, Epic, or similar required
- Understanding of commercial, Medicare, Medicaid, and workers' compensation billing procedures preferred
- Strong analytical skills to interpret EOBs, address denials, and resolve account discrepancies preferred
- Strong attention to detail, time management, and organizational skills
- Effective interpersonal and communication skills
- Ability to work independently, meet deadlines, and adapt in a fast-paced environment
- Proficiency in Microsoft Word, Excel, Outlook, and Teams
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago