Medical Billing Specialist - Orthopedic Claims Expert

Ortho Louisville; Fort Mitchell (KY); On-site; USD 45,000 - 65,000; Full time

Job summary

Ortho Louisville is seeking a Medical Billing Specialist to ensure timely claim submission and efficient follow-up with payers across Medicare, Medicaid, and private insurers.

The role involves managing AR queues, processing denials, and coordinating with clinical staff to resolve issues, while maintaining compliance with HIPAA and patient privacy standards. You will verify benefits, review EOBs, and communicate clearly with patients and vendors.

Qualifications

• Attention to detail and accuracy in claims processing.
• Strong organizational skills to manage multiple AR queues.
• Excellent communication with patients, providers and payers.
• Ability to stay professional in high-pressure situations.

Responsibilities

• Submit claims timely and follow up with payers on non-responses.
• Analyze EOBs and prepare responses to carriers.
• Manage AR work queues including denials and appeals.
• Verify benefits and determine COB via phone or portal.
• Collaborate with supervisor to report denial trends.
• Ensure compliance with HIPAA and No Surprises Act.

Skills

Attention to detail

Organization

Communication skills

Professionalism under stress

Multitasking

Education

High School Diploma or equivalent

Associate's Degree in Coding/Billing or 2+ years billing experience

Tools

Medical billing software

EHR systems

Job description

Ortho Louisville is seeking a Medical Billing Specialist to ensure timely claim submission and efficient follow-up with payers across Medicare, Medicaid, and private insurers.

The role involves managing AR queues, processing denials, and coordinating with clinical staff to resolve issues, while maintaining compliance with HIPAA and patient privacy standards. You will verify benefits, review EOBs, and communicate clearly with patients and vendors.