What are the responsibilities and job description for the Medical Billing and Collections Specialist position at OrthoLoneStar PLLC?
About the Role:
The Medical Billing and Collections Specialist reports to the Billing Manager and is responsible for insurance claim clarification, accounts receivable follow-up, and payment posting. The role serves as a liaison between the billing department and providers, handling billing inquiries and claim corrections. The specialist ensures accurate coding compliance for all procedures and contributes to reducing AR through diligent follow-up on outstanding claims. Other duties include processing refunds, handling patient insurance information updates, and assisting in the development of training programs for the billing team.
Minimum Qualifications:
Education: High school diploma or GED, or 3 years of related experience in medical billing or collections.
Experience: Preferred experience in medical billing, financial accounting, or healthcare office settings.
Skills: Basic knowledge of Microsoft Office (Word, Excel, Outlook), ability to navigate EMR systems and payer portals, and strong written and verbal communication skills. Spanish language skills are a plus.
Math & Reasoning: Basic math skills (addition, subtraction, multiplication, percentages) and the ability to solve problems with standardized instructions.
Preferred Qualifications:
Experience with medical coding (CPT, ICD-10) and billing regulations.
Certification in medical billing or coding (optional).
Bilingual (Spanish) skills are a plus.
Responsibilities:
Follow up on insurance claims and accounts receivable to ensure timely payment.
Liaise with billing department and providers to resolve billing issues.
Ensure accurate coding and compliance with regulations.
Resolve discrepancies in insurance payments and posting errors.
Process refund requests and update patient insurance information.
Document insurance and patient correspondence and assist with billing team training.
Skills:
Strong communication and interpersonal skills.
Attention to detail and problem-solving abilities.
Organizational skills to manage tasks efficiently.
Technical proficiency in Microsoft Office and EMR systems.
Knowledge of billing compliance and patient privacy regulations.
This position is full-time, Monday-Friday 8:00 am - 5:00 pm.
