Medical Billing Specialist

Summit Orthopedic Specialists; Carmichael No. 109; On-site; CAD 50,000 - 65,000; Full time

Job summary

A leading orthopedic practice in Carmichael No. 109 is seeking a detail-oriented Medical Billing Specialist to ensure accurate and timely billing while providing exceptional service to patients and insurance providers. Candidates should have medical office experience, with a preference for those familiar with orthopedic practices. This position offers a competitive salary and a supportive team environment.

Benefits

Competitive salary and benefits package

Supportive team environment

Opportunities for professional growth

Qualifications

• Experience working in a medical office is required; orthopedic experience is a plus.
• Understanding of CPT, ICD-10, and HCPCS coding is essential.
• Ability to maintain patient confidentiality and adhere to HIPAA regulations.

Responsibilities

• Process and submit insurance claims accurately.
• Manage claim denials and follow up for reimbursement.
• Verify patient insurance coverage and eligibility.

Skills

Medical billing

Insurance claims processing

Patient account management

Attention to detail

Communication skills

Tools

Athena (EMR system)

Job description

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About Us

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.