What are the responsibilities and job description for the Medical Billing Specialist for Hilton Head Orthopedics position at South Carolina Region?
Job Title: Medical Billing SpecialistLocation: Hilton Head Orthopedics – Hilton Head, SC
Overview:Hilton Head Orthopedics is looking for a detail-driven and dependable Medical Billing Specialist to join our finance team. This full-time, in-office role is essential to the financial operations of our practice, ensuring that billing and reimbursement processes are handled efficiently and accurately. You’ll be a key part of a supportive, high-performing team, contributing to the financial health of our organization while helping patients navigate their billing experience with confidence.
Key Responsibilities:
Account Management: Post and collect payments from patients and insurance providers, ensuring transactions are recorded accurately and in a timely manner.
Claims Submission & Follow-Up: Submit insurance claims and follow up on outstanding balances to ensure maximum reimbursement.
EOB Review & Resolution: Analyze Explanations of Benefits (EOBs) to resolve patient and payer inquiries.
Patient Billing Support: Prepare and distribute patient statements, ensuring clear, concise, and accurate communication.
Payment Processing: Accurately post payments, balance accounts, and generate daily financial reports.
Claims Monitoring: Track and follow up on unpaid or denied claims, working toward resolution and payment.
Delinquent Accounts: Report and assist with collection efforts for overdue patient accounts.
Administrative Support: Answer phone inquiries, assist with mail, and perform general clerical duties as needed to support the finance team.
Additional Responsibilities:
Maintain accurate and compliant billing records in line with payer regulations.
Resolve billing complaints with professionalism and empathy.
Contribute to financial reporting and identify areas for process improvement.
Stay updated on changes in medical billing regulations and insurance policies.
Performance Expectations:
Accuracy: Maintain meticulous attention to detail in billing records and data entry.
Efficiency: Prioritize tasks effectively to meet deadlines and reduce claim turnaround times.
Professionalism: Provide courteous, knowledgeable service to patients, staff, and insurance providers.
Problem-Solving: Proactively resolve discrepancies and denials with a solution-focused mindset.
Success Metrics:
Timely and accurate submission of claims and posting of payments
Decrease in denied claims and shortened resolution timelines
Positive patient interactions and minimal billing complaints
Adherence to billing standards and compliance regulations
Qualifications:
Experience: Minimum of 1 year in medical billing, with working knowledge of ICD-10 coding.
Skills:
Strong understanding of insurance guidelines, billing workflows, and EOBs
Proficiency with billing software and Microsoft Office (especially Excel and Word)
Education: High School Diploma or equivalent required; certification in medical billing/coding preferred.
Schedule:
Monday – Friday | 8-hour shifts
