(Hybrid) Medical Billing and Underpayment Specialist

Job Description

Job Description

About Us :

At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic / pain management field. We are looking for a skilled and motivated Accounts Receivable Specialist to join our team. The ideal candidate will have significant experience with collections, medical billing and a deep understanding of various insurance types and companies.

Position Overview :

We are seeking an Accounts Receivable Specialist to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with understanding of commercial insurance plans. Prior experience in out-of-network billing, orthopedic, spine, or pain management services is highly preferred. Candidates with a foundation in medical billing and a desire to develop expertise in out-of-network workflows are encouraged to apply.

Key Responsibilities :

• Submit and follow up on medical claims with commercial payers, with a focus on specialty and surgical services.
• Monitor outstanding accounts and pursue unpaid or underpaid claims to ensure timely reimbursement.
• Review, appeal, and resolve claim denials or payment discrepancies using payer portals
• Maintain up-to-date knowledge of payer policies, billing regulations, and coding guidelines.
• Collaborate with clinical and administrative teams to ensure accurate documentation and billing practices.
• Maintain organized detailed records of claim activity, account status, and insurance correspondence.

Qualifications :

Education and Experience :

Benefits :

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