Remote Orthopedic Medical Billing Specialist

Orthos Inc; Niles (MI); Remote; USD 42,000 - 62,000; Full time

Job summary

Orthos Inc is seeking a Billing Specialist to support patient accounts and insurance claim workflows in a remote-capable role. The candidate should have 2+ years of medical billing experience, familiarity with CPT/ICD-10/HCPCS, and EMR/EHR systems.

Strong communication, HIPAA compliance, and the ability to work in a high-volume clinic environment are essential. This remote opportunity requires residency in states including Michigan; candidates must be prepared to align with clinic policies and

Qualifications

• Minimum of 2+ years of medical billing and accounts receivable experience preferred.
• Orthopedic billing experience strongly preferred.
• Knowledge of commercial insurance, Medicare, Medicaid, workers' 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 in a remote environment.
• Proficient in Outlook, Excel, and Teams.
• Strong problem-solving and critical thinking skills.
• HIPAA confidentiality adherence.
• Dependable attendance and follow-through.
• Ability to adapt to changing workflows.

Responsibilities

• Answer patient inquiries and maintain accounts receivable per clinic policies.
• Review outstanding or denied insurance claims and submit appeals.
• Communicate with insurance companies to ensure claims are paid and correct errors.
• Post all actions and maintain permanent record of patient accounts.
• Oversee claims appeals and reviews; monitor aging status and follow up on open claims.
• Verify balances and refunds; address patient questions and concerns.
• Stay up to date with clinic and insurance industry contract policies and medical terminology.
• Contribute to data and analytics efforts for the orthopedic business office.

Skills

Medical billing

Accounts receivable

Orthopedic billing

EOBs & denials

Payer guidelines

CPT/ICD-10/HCPCS

EMR/EHR systems

Denial management

Remote work readiness

Microsoft Outlook/Excel/Teams

HIPAA compliance

Confidentiality

Tools

EMR/EHR systems

Insurance payer portals

Microsoft Office

Job description

Orthos Inc is seeking a Billing Specialist to support patient accounts and insurance claim workflows in a remote-capable role. The candidate should have 2+ years of medical billing experience, familiarity with CPT/ICD-10/HCPCS, and EMR/EHR systems.

Strong communication, HIPAA compliance, and the ability to work in a high-volume clinic environment are essential. This remote opportunity requires residency in states including Michigan; candidates must be prepared to align with clinic policies and