Remote Orthopedic Medical Billing Specialist

Orthos Inc; South Bend (IN); Remote; USD 38,000 - 52,000; Full time

Job summary

Orthos Inc. is seeking a Billing Specialist to support remote operations from the United States. The role focuses on medical billing, accounts receivable follow-up, and insurance claim processing for orthopedic practices.

You will review denials, file appeals, communicate with payers, and ensure accurate posting of payments in a high-volume environment. Strong HIPAA compliance and attention to detail are essential.

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
• Review outstanding or denied insurance claims, submit insurance appeals, and maintain assigned accounts receivables per clinic policies
• Assist in processing of insurance claims including workers’ compensation (if assigned) for all financial classes
• Communicate with insurance companies to ensure claims are paid; identify and correct account and/or insurance error; post all actions and maintain permanent record
• Oversee claims appeals and reviews; follow up on open claims and monitor aging status
• Understand clinic and insurance industry contract policies/procedures and medical terminology
• Participate in professional development to stay current with health care best practices and trends
• Actively participate in data and analytics initiatives for the orthopedic business office
• Other duties as assigned

Skills

Medical billing

Accounts receivable

Orthopedic billing

Payer guidelines

CPT ICD-10 knowledge

Denials management

HIPAA compliance

EMR/EHR proficiency

Remote work adaptability

Communication skills

Excel proficiency

Outlook/Teams usage

Tools

EMR/EHR systems

Payer portals

Microsoft Excel

Microsoft Outlook

Microsoft Teams

Job description

Orthos Inc. is seeking a Billing Specialist to support remote operations from the United States. The role focuses on medical billing, accounts receivable follow-up, and insurance claim processing for orthopedic practices.

You will review denials, file appeals, communicate with payers, and ensure accurate posting of payments in a high-volume environment. Strong HIPAA compliance and attention to detail are essential.