Medical Biller

Modern Day Management; Hauppauge (NY); On-site; USD 70,000 - 110,000; Full time

Job summary

Groth Pain & Spine in Long Island, NY seeks an experienced Chiropractic Billing Specialist to own the revenue cycle for a multidisciplinary pain management practice. You’ll manage coding, timely claims submission, and follow-up on unpaid accounts, with a focus on PI, workers' comp, and commercial claims.

Join a collaborative team of physicians, therapists, and support staff; leverage strong EHR skills and CPT knowledge to optimize revenue and compliance while maintaining compassionate patient

Qualifications

• 5+ years of medical billing and coding experience in chiropractic, physical therapy, or pain management settings
• 1–2 years of chiropractic billing experience
• High school diploma required; Associate's or Bachelor's degree in Business Administration, Healthcare Management, or a related field is a plus
• Deep familiarity with spine-related CPT codes, global surgical periods, modifier usage, and diverse payer types (Commercial, Medicare, PIP/Auto, Workers' Compensation)
• Proficiency with major EHR and practice management billing software
• Strong analytical and problem-solving abilities with high attention to detail
• Discretion in handling confidential financial and patient data
• Clear, effective communication skills

Responsibilities

• Monitor accounts receivable and aggressively follow up on denied or delayed claims
• Appeal rejections within payer-specific timeframes
• Post insurance and patient payments accurately and reconcile daily financial batches
• Identify systemic underpayments and contract variances
• Provide regular billing reports, collection metrics, and revenue analytics to the Practice Manager
• Answer patient billing questions and explain insurance benefits, deductibles, and co-pays with empathy and professionalism
• Establish manageable payment plans and coordinate with front-desk staff on outstanding balances
• Verify patient insurance eligibility, benefits, and coverage for specialized pain management and chiropractic treatments
• Participate in practice and affiliate efforts to achieve established productivity goals
• Learn, use, and analyze the software programs utilized across the practice
• Comply with state mandatory reporting laws

Skills

Medical billing

Chiropractic billing

Analytical thinking

Attention to detail

Communication

Education

High school diploma

Associate's/Bachelor's in related field

Tools

EHR software

Job description

Job Description

Chiropractic Billing Specialist

Groth Pain & Spine | Long Island, NY

Own the Revenue Cycle at Long Island's Premier Pain Management Practice

Groth Pain & Spine is growing, and we're looking for an experienced, detail-oriented Billing Specialist to keep our revenue cycle running with precision. In this role, you'll manage the complete billing process for our chiropractic and pain management practice, from accurate coding and timely claims submission to persistent follow-up on unpaid accounts.

If you have specialized knowledge of chiropractic adjustments, physical therapy modalities, and massage therapy billing, and you're skilled at navigating personal injury (PI), workers' compensation, and commercial insurance claims, this is your opportunity to make a real impact on a thriving, multidisciplinary healthcare team.

Why Groth Pain & Spine?

• A vital seat on the team: your work directly supports the practice's financial health and, in turn, our ability to deliver excellent patient care
• A multidisciplinary environment: work alongside Physicians, NPs, PAs, Chiropractors, Physical Therapists, Massage Therapists, Psychologists, and Licensed Clinical Social Workers
• Specialized, in-demand work: develop deep expertise in chiropractic, PT, and pain management billing across multiple payer types
• Direct partnership with leadership: collaborate closely with the Practice Manager on reporting, revenue analytics, and process improvement
• A culture that's second to none: join a practice that genuinely invests in the people who make great patient care possible

What You'll Do

Accounts Receivable & Revenue Cycle

• Monitor accounts receivable and aggressively follow up on denied or delayed claims
• Appeal rejections within payer-specific timeframes
• Post insurance and patient payments accurately and reconcile daily financial batches
• Identify systemic underpayments and contract variances
• Provide regular billing reports, collection metrics, and revenue analytics to the Practice Manager

Patient Financial Services & Support

• Answer patient billing questions and explain insurance benefits, deductibles, and co-pays with empathy and professionalism
• Establish manageable payment plans and coordinate with front-desk staff on outstanding balances
• Verify patient insurance eligibility, benefits, and coverage for specialized pain management and chiropractic treatments

Productivity & Business Operations

• Participate in practice and affiliate efforts to achieve established productivity goals
• Learn, use, and analyze the software programs utilized across the practice

Mandatory Reporting

• Groth Pain & Spine has zero tolerance for non-compliance with our policies and procedures for addressing situations that endanger the welfare of our patients, including those relating to state mandatory reporting laws

What We're Looking For

• Minimum of 5+ years of medical billing and coding experience in chiropractic, physical therapy, or pain management settings
• Minimum of 1-2 years of chiropractic billing experience
• High school diploma required; Associate's or Bachelor's degree in Business Administration, Healthcare Management, or a related field is a plus
• Deep familiarity with spine-related CPT codes, global surgical periods, modifier usage, and diverse payer types (Commercial, Medicare, PIP/Auto, and Workers' Compensation)
• Proficiency with major EHR and practice management billing software
• Strong analytical and problem-solving abilities with high attention to detail
• Discretion in handling confidential financial and patient data
• Clear, effective communication skills

Physical Demands

The physical demands described here are representative of those required to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasionally required to stand, walk, sit, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, crawl, talk, and hear
• Ability to sit or stand for extended periods and navigate a busy office environment
• Ability to occasionally lift and/or move up to 25 lbs.
• Vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus

Groth Pain & Spine is an Equal Opportunity Employer.