Orthopedic Medical Billing A/R Specialist (AdvancedMD)

Medical Centers Network; San Antonio (TX); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Medical Centers Network is seeking a skilled Medical Billing A/R Specialist with hands-on AdvancedMD experience to manage daily insurance aging, resolve denials, and improve revenue cycle performance. The ideal candidate will be proactive, analytical, and well-versed in orthopedic payer requirements.

This role emphasizes accurate reimbursement, timely claim resolution, and effective communication with carriers and patients within a fast-paced billing team.

Qualifications

• 2+ years of A/R experience in medical billing, preferably Orthopedic.
• Strong understanding of insurance follow-up, denials, and appeals.
• Familiarity with ICD-10, CPT, HCPCS coding concepts.
• Excellent problem-solving, documentation, and communication skills.
• Ability to work independently and meet aging targets.

Responsibilities

• Manage daily insurance A/R aging reports in AdvancedMD and resolve claims promptly.
• Investigate unpaid or denied orthopedic claims and correct/ resubmit with updates.
• Follow up with carriers via portals, phone, or clearinghouse for payments.
• Analyze denial trends and escalate recurring issues to management.
• Post adjustments and reconcile accounts in AdvancedMD.
• Prepare appeals with appropriate documentation for orthopedic procedures.
• Communicate with patients about claim status and balances.
• Stay current on orthopedic coding, payer policies, and regulations.

Skills

A/R experience in medical billing

Orthopedic billing knowledge

Insurance follow-up & denials

Communication skills

Independent work

Education

Billing/coding certification (CPC/CRC/CBCS)

Tools

AdvancedMD

Job description

Medical Centers Network is seeking a skilled Medical Billing A/R Specialist with hands-on AdvancedMD experience to manage daily insurance aging, resolve denials, and improve revenue cycle performance. The ideal candidate will be proactive, analytical, and well-versed in orthopedic payer requirements.

This role emphasizes accurate reimbursement, timely claim resolution, and effective communication with carriers and patients within a fast-paced billing team.