What are the responsibilities and job description for the Medical Billing Specialist position at Summit Orthopedic Specialists?
**About Us:**
Summit Orthopedic Specialists is a leading orthopedic practice specializing in knees, hips, and shoulders. We are committed to "Saving Lifestyles" by providing high-quality patient care in a collaborative and dynamic work environment.
**Position Overview:**
We are seeking a detail-oriented Medical Billing Specialist to join our team at Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to ensuring accurate and timely billing, optimizing reimbursement, and providing exceptional service to patients and insurance providers.
**Key Responsibilities:**
- Process and submit insurance claims accurately and efficiently.
- Manage claim denials and follow up to ensure proper reimbursement.
- Collect and process patient payments and virtual credit card payments.
- Reconcile unapplied credit balances and explanation of benefits (EOBs).
- Verify patient insurance coverage and eligibility.
- Answer billing queue calls and voicemails, assisting patients with billing inquiries.
- Maintain compliance with HIPAA, coding guidelines, and insurance policies.
- Collaborate with teammates to ensure proper documentation and coding.
**Qualifications:**
- Experience working in a medical office is required; orthopedic experience is a plus.
- Experience working with Athena (EMR system) is a plus.
- Understanding of CPT, ICD-10, and HCPCS coding.
- Strong attention to detail and ability to work in a fast-paced environment.
- Excellent communication and problem-solving skills.
- Ability to maintain patient confidentiality and adhere to HIPAA regulations.
**Why Join Summit Orthopedic Specialists?**
- Competitive salary and benefits package.
- A supportive and collaborative team environment.
- Opportunities for professional growth and development.
- Be part of a practice that values quality patient care and innovation.
