Medical Billing Specialist for Hilton Head Orthopedics

South Carolina Region; Bluffton (SC, IN); On-site; USD 40,000 - 60,000; Full time

Job summary

An established healthcare provider is seeking a detail-oriented Medical Billing Specialist to enhance their finance team. In this full-time, in-office role, you will play a crucial part in managing billing and reimbursement processes, ensuring accuracy and efficiency. Your expertise will help patients navigate their billing experiences with confidence while contributing to the financial health of the organization. Join a supportive team where your skills in medical billing, ICD-10 coding, and problem-solving will be valued. This is a fantastic opportunity to grow your career in a dynamic and inclusive environment.

Qualifications

• Minimum 1 year experience in medical billing with ICD-10 coding knowledge.
• Strong understanding of insurance guidelines and billing workflows.

Responsibilities

• Post and collect payments from patients and insurance providers.
• Submit insurance claims and follow up on outstanding balances.
• Prepare and distribute patient statements ensuring clarity.

Skills

Medical Billing

ICD-10 Coding

Insurance Guidelines

Billing Workflows

EOB Analysis

Problem-Solving

Education

High School Diploma or equivalent

Certification in Medical Billing/Coding

Tools

Billing Software

Microsoft Excel

Microsoft Word

Job description

Medical Billing Specialist for Hilton Head Orthopedics

75 Baylor Dr suite 200, Bluffton, SC 29910, USA Req #1139

Thursday, April 10, 2025

Let Novant Health be the destination for your professional growth.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Job Title: Medical Billing Specialist
Location: Hilton Head Orthopedics – Hilton Head, SC

Overview:
Hilton Head Orthopedics is looking for a detail-driven and dependable Medical Billing Specialist to join our finance team. This full-time, in-office role is essential to the financial operations of our practice, ensuring that billing and reimbursement processes are handled efficiently and accurately. You’ll be a key part of a supportive, high-performing team, contributing to the financial health of our organization while helping patients navigate their billing experience with confidence.

Key Responsibilities:

1. Account Management: Post and collect payments from patients and insurance providers, ensuring transactions are recorded accurately and in a timely manner.
2. Claims Submission & Follow-Up: Submit insurance claims and follow up on outstanding balances to ensure maximum reimbursement.
3. EOB Review & Resolution: Analyze Explanations of Benefits (EOBs) to resolve patient and payer inquiries.
4. Patient Billing Support: Prepare and distribute patient statements, ensuring clear, concise, and accurate communication.
5. Payment Processing: Accurately post payments, balance accounts, and generate daily financial reports.
6. Claims Monitoring: Track and follow up on unpaid or denied claims, working toward resolution and payment.
7. Delinquent Accounts: Report and assist with collection efforts for overdue patient accounts.
8. Administrative Support: Answer phone inquiries, assist with mail, and perform general clerical duties as needed to support the finance team.

Additional Responsibilities:

1. Maintain accurate and compliant billing records in line with payer regulations.
2. Resolve billing complaints with professionalism and empathy.
3. Contribute to financial reporting and identify areas for process improvement.
4. Stay updated on changes in medical billing regulations and insurance policies.

Performance Expectations:

1. Accuracy: Maintain meticulous attention to detail in billing records and data entry.
2. Efficiency: Prioritize tasks effectively to meet deadlines and reduce claim turnaround times.
3. Professionalism: Provide courteous, knowledgeable service to patients, staff, and insurance providers.
4. Problem-Solving: Proactively resolve discrepancies and denials with a solution-focused mindset.

Success Metrics:

1. Timely and accurate submission of claims and posting of payments
2. Decrease in denied claims and shortened resolution timelines
3. Positive patient interactions and minimal billing complaints
4. Adherence to billing standards and compliance regulations

Qualifications:

1. Experience: Minimum of 1 year in medical billing, with working knowledge of ICD-10 coding.
2. Skills: Strong understanding of insurance guidelines, billing workflows, and EOBs; Proficiency with billing software and Microsoft Office (especially Excel and Word)
3. Education: High School Diploma or equivalent required; certification in medical billing/coding preferred.

Schedule:

Monday – Friday | 8-hour shifts

Novant Health is an equal opportunity employer and conducts all human resource practices in compliance with federal, state and local civil rights and employment legislation. Accordingly, Novant Health considers all applicants for employment equally, without regard to race, color, religion, sex, national origin, age, disability, veteran’s status, marital status, sexual orientation, gender identity or expression and provides them with an opportunity to progress in the organization consistent with their skills and interests.