Medical Billing Specialist

Summit Orthopedic Specialists is a leading orthopedic practice specializing in knees, hips, and shoulders. We are committed to "Saving Lifestyles" by providing high-quality patient care in a collaborative and dynamic work environment.

• Position Overview :

We are seeking a detail-oriented Medical Billing Specialist to join our team at Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to ensuring accurate and timely billing, optimizing reimbursement, and providing exceptional service to patients and insurance providers.

• Key Responsibilities :
• Process and submit insurance claims accurately and efficiently.
• Manage claim denials and follow up to ensure proper reimbursement.
• Collect and process patient payments and virtual credit card payments.
• Reconcile unapplied credit balances and explanation of benefits (EOBs).
• Verify patient insurance coverage and eligibility.
• Answer billing queue calls and voicemails, assisting patients with billing inquiries.
• Maintain compliance with HIPAA, coding guidelines, and insurance policies.
• Collaborate with teammates to ensure proper documentation and coding.
• Qualifications :
• Experience working in a medical office is required; orthopedic experience is a plus.
• Experience working with Athena (EMR system) is a plus.
• Understanding of CPT, ICD-10, and HCPCS coding.
• Strong attention to detail and ability to work in a fast-paced environment.
• Excellent communication and problem-solving skills.
• Ability to maintain patient confidentiality and adhere to HIPAA regulations.
• Why Join Summit Orthopedic Specialists?
• Competitive salary and benefits package.
• A supportive and collaborative team environment.
• Opportunities for professional growth and development.
• Be part of a practice that values quality patient care and innovation.