Medical Billing Specialist at Southeastern Spine Institute

Job Title: Medical Billing A/R Specialist Department: FinancePay Type: HourlyPosition Type: Full-Time Position Overview: We are seeking a dedicated and detail-oriented Medical Billing A/R Specialist to join our Finance team at Southeastern Spine Institute. In this role, you will be responsible for managing the entire billing process, including posting payments, submitting claims to insurance carriers, resolving billing inquiries, and ensuring timely and accurate reimbursement. The ideal candidate will be organized, proactive, and comfortable working in a fast-paced environment while maintaining high standards of accuracy and customer service. Key Responsibilities: Account Management: Post and collect payments from patients and insurance carriers, ensuring accurate and timely processing of all transactions. Claims Submission: Submit claims to insurance providers, including follow-up for claims status and resolution of issues to ensure timely reimbursement. EOB Review: Interpret and respond to patient, staff, and insurance inquiries based on Explanation of Benefits (EOB) information. Patient Billing Support: Prepare and send statements to new and existing patients, ensuring clarity and accuracy in all communications. Payment Processing: Process payments received from insurance companies, ensuring that payments are accurately recorded in the system and reports are generated daily. Claims Tracking & Follow-up: Monitor submitted claims, follow up on unpaid claims, and track their progress until resolution. Delinquent Accounts: Report on the status of overdue accounts, providing details for follow-up and collections as necessary. Miscellaneous Clerical Support: Perform additional clerical duties as needed, including answering phone calls, mail distribution, and supporting other team members. Additional Responsibilities: Maintain accurate and complete billing records, ensuring compliance with all insurance company requirements. Resolve any patient billing complaints promptly and professionally. Assist in the preparation of financial reports and help identify opportunities for process improvement in billing and reimbursement procedures. Stay current on changes in billing regulations, insurance policies, and reimbursement processes. Performance Expectations: Accuracy: Ensure that patient accounts, billing data, and claims information are accurate and up-to-date. Efficiency: Demonstrate strong time management and organizational skills to meet deadlines and maximize reimbursement processing. Ethics & Integrity: Uphold exemplary ethical standards in all interactions with patients, insurance providers, and staff. Customer Service: Provide excellent service to patients and insurance companies by resolving issues and inquiries in a timely and professional manner. Problem-Solving: Actively identify and resolve issues, such as billing discrepancies or claim rejections, and provide solutions that support the financial goals of the organization. Performance Metrics: Timeliness and accuracy of claim submissions and payment processing. Reduction of denied claims and improvement in account resolution time. Quality of communication with patients, insurance carriers, and internal staff. Adherence to company policies, compliance standards, and ethical practices. Job Requirements: Experience: Minimum of 1 year of experience with ICD-10 coding and medical billing processes required. Skills: Strong knowledge of insurance policies, coding, and billing practices. Ability to interpret and apply Explanation of Benefits (EOBs). Proficiency in medical billing software and Microsoft Office (Excel, Word). Education: High school diploma or equivalent required; additional certification in medical billing or coding is a plus. Work Location: In-person at our Spine Institute office. Schedule: Full-time, 8-hour shift, Monday to Friday. Occasional overtime may be required to meet deadlines or resolve urgent issues. If you're passionate about healthcare billing, have a keen eye for detail, and thrive in a collaborative team environment, we encourage you to apply for this exciting opportunity!