Remote Medical Billing Specialist (Orthopedic Claims)

Orthos Inc; Illinois; Remote; USD 55,000 - 70,000; Full time

Job summary

Orthos Inc. is seeking a Billing Specialist to support our orthopedic clinic operations from a remote-capable role. The ideal candidate has 2+ years in medical billing and accounts receivable follow-up, with strong knowledge of insurance claims, denials, and posting payments.

This position requires navigation of payer portals, EMR/EHR systems, and HIPAA compliance, with emphasis on accuracy, communication, and timely filing in a high-volume environment.

Qualifications

• Minimum of 2+ years of medical billing and accounts receivable follow-up experience preferred.
• Orthopedic billing experience strongly preferred.
• Knowledge of commercial insurance, Medicare, Medicaid, worker’s compensation, and managed care payers.
• Understanding of EOBs, denials, appeals, adjustments, authorizations, and payment posting processes.
• Ability to interpret payer guidelines and identify billing discrepancies or claim issues.
• Familiarity with CPT, ICD-10, and HCPCS coding terminology.
• Experience working within EMR/EHR systems and insurance payer portals.
• Strong understanding of claim aging, denial management, and timely filing requirements.
• Ability to prioritize workload and manage multiple accounts efficiently in a high-volume environment.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to work independently while maintaining productivity and accountability in a remote work environment.
• Proficient computer skills including Microsoft Outlook, Excel, and Teams.
• Strong problem-solving and critical thinking skills.
• Ability to maintain confidentiality and comply with HIPAA regulations.
• Dependable attendance, responsiveness, and follow-through on assigned responsibilities.
• Ability to adapt to changing workflows, client needs, and process improvements.

Responsibilities

• Answer phones, patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy.
• Process insurance claims and appeals; maintain assigned accounts receivable per clinic policies.
• Communicate with insurance companies to ensure claims are paid and correct errors; post actions and maintain permanent records.
• Oversee claims appeals and reviews; monitor aging and follow up on open claims.
• Understand and stay up to date with clinic and insurance contract policies/procedures and medical terminology.
• Participate in professional development to stay current with health care best practices and trends.
• Contribute to innovative data and analytics solutions for the orthopedic business office.
• Other duties as assigned.

Skills

Medical billing

Accounts receivable

Insurance claims

Denials management

HIPAA compliance

CPT/ICD-10/HCPCS

EMR/EHR proficiency

Payer portals

Microsoft Excel

Microsoft Outlook/Teams

Tools

EMR/EHR systems

Insurance payer portals

Microsoft Excel

Microsoft Outlook

Teams

Job description

Orthos Inc. is seeking a Billing Specialist to support our orthopedic clinic operations from a remote-capable role. The ideal candidate has 2+ years in medical billing and accounts receivable follow-up, with strong knowledge of insurance claims, denials, and posting payments.

This position requires navigation of payer portals, EMR/EHR systems, and HIPAA compliance, with emphasis on accuracy, communication, and timely filing in a high-volume environment.