Orthopedic Medical Billing A/R Specialist (AdvancedMD)

Medical Centers Network; Shavano Park (TX); On-site; USD 50,000 - 75,000; 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 Accounts Receivable (A/R) Specialist with hands-on experience in AdvancedMD and a solid background in A/R. The role focuses on ensuring accurate reimbursement by managing outstanding claims, resolving denials, working insurance aging reports, and maintaining healthy revenue cycle performance.

The ideal candidate is proactive, analytical, and highly familiar with orthopedic spine surgery payer requirements.

Qualifications

• 2+ years of A/R experience in medical billing.
• Orthopedic practice experience preferred.
• AdvancedMD experience preferred (billing, claim tracking, reporting, A/R workflows).
• Knowledge of ICD-10, CPT, HCPCS.
• Familiarity with commercial insurance, Medicare, Medicaid, Workers' Compensation, and auto accident claims.
• Excellent problem-solving, documentation, and communication skills.
• Ability to work independently, prioritize tasks, and meet aging and productivity targets.
• Billing or coding certification (CPC, CRC, CBCS) is a plus but not mandatory.

Responsibilities

• Manage daily insurance A/R aging via AdvancedMD and prioritize timely claim resolution.
• Investigate and resolve unpaid, underpaid, or denied orthopedic claims quickly and accurately.
• Correct and resubmit claims with updated coding, modifiers, or documentation as needed.
• Follow up with insurance carriers via portals, phone, or clearinghouse to ensure payment.
• Analyze denial trends and elevate recurring issues to management.
• Post adjustments and reconcile accounts in AdvancedMD.
• Prepare appeals with appropriate documentation for orthopedic procedures.
• Communicate with patients regarding claim status and balances.
• Maintain up-to-date knowledge of orthopedic coding, payer policies, and regulations.

Skills

Analytical skills

Problem solving

Documentation

Communication

Independent work

Tools

AdvancedMD

Job description

Medical Centers Network is seeking a skilled Medical Billing Accounts Receivable (A/R) Specialist with hands-on experience in AdvancedMD and a solid background in A/R. The role focuses on ensuring accurate reimbursement by managing outstanding claims, resolving denials, working insurance aging reports, and maintaining healthy revenue cycle performance.

The ideal candidate is proactive, analytical, and highly familiar with orthopedic spine surgery payer requirements.