Medical Biller Coder (Orthopedics)

Job Description

We are seeking an experienced and detail-oriented Medical Billing Specialist to support both Desert Orthopedics Center. This position plays a critical role in maintaining the financial health of our practices by ensuring accurate billing, claim submission, and timely resolution of issues.

Location:

This is an in-person position at 7301 E. 2nd St. Suite 310, Scottsdale, AZ 85251.

Hours:

Monday - Thursday: 7:30 AM - 4:30 PM

Friday: 7:30 AM - 12:30 PM

Requirements:

• Demonstrated knowledge of HCPCS, CPT, and diagnosis coding.
• Experience with medical terminology (orthopedics) and using an electronic medical record (EMR) and billing systems.
• Knowledge of billing procedures and collection techniques.
• Strong computer skills (practice management software, clearinghouses, MS Office, and spreadsheet applications).
• Ability to adhere to company compliance standards and internal policies and procedures.
• Exceptional organizational skills and the ability to prioritize and multitask in a fast-paced environment.
  
  

Responsibilities:

• Maintain accounts receivable files and records for both Desert Orthopedics Center and Desert Sage Dermatology.
• Prepare and review claims for submission, including resolving upfront claims edits and errors.
• Submit and track claims files to all payer types (commercial, government, etc.).
• Resolve payer and clearinghouse related issues promptly.
• Answer inbound billing-related calls and return voicemails in a professional and timely manner, addressing patient and insurance inquiries with clarity and accuracy.
• Reconcile claims payments with bank deposits.
• Review and handle insurance claim denials, exceptions, or exclusions in a timely manner.
• Interpret Explanation of Benefits (EOBs) accurately to understand payer decisions.
• Follow up directly with insurance companies regarding payment discrepancies, using aging reports and workflows provided by the Supervisor.
• Address unpaid or open claims over 30, 60, 90, and 120 days.
• Research and appeal denied claims effectively to maximize reimbursement.
  
  

Additional Information:

As part of a multi-location practice, you’ll have the opportunity to assist with billing for both Desert Orthopedics Center and Desert Sage Dermatology, offering variety and growth opportunities within your role.

If you're looking for an opportunity to be part of a dynamic team with a focus on both precision and patient care, we encourage you to apply!