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Orthopedic Medical Billing Representative (Ancillary Services)

Union County Orthopaedic Group
Linden, NJ Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/3/2025

Job Description

Job Description

Description : About the Role

OrthoNJ is seeking an experienced Orthopedic Medical Billing Representative specializing in ancillary orthopedic care services including Physical Therapy, DME, and Viscosupplementation. This position offers the opportunity to play a crucial role in our revenue cycle management while ensuring compliance with billing regulations and insurance requirements.

Why Join OrthoNJ?

  • Work with a respected orthopedic group practice in New Jersey
  • Contribute to a team dedicated to excellent patient care
  • Opportunity to specialize in orthopedic, pain management, and podiatry billing
  • Stable healthcare environment with competitive benefits

Requirements : Key Responsibilities

Claims Processing & Management :

  • Process and submit all paper and electronic claims for assigned carriers
  • Review clearinghouse edit reports daily and resolve issues promptly
  • Manage specialized billing for physical therapy, occupational therapy, DME, Viscosupplementation / gel injections, and other orthopedic services
  • Verify completeness of insurance claim information before submission
  • Account Management :

  • Monitor unpaid insurance claims and follow up with carriers
  • Appeal underpayments and process refund requests
  • Coordinate medical records requests and additional documentation
  • Stay current with payor policy and guideline updates
  • Patient Accounts & Payment Processing :

  • Establish payment plans within approved guidelines
  • Manage patient A / R and statement processing
  • Post adjustments and payments according to protocol
  • Identify underpayments and resolve discrepancies
  • What You'll Need to Succeed

    Required Qualifications :

  • High school diploma or GED
  • Minimum 18 months experience in physician group practice billing
  • Knowledge of CPT and ICD-10-CM coding for orthopedic, podiatry & pain management procedures
  • Familiarity with HIPAA & OSHA guidelines
  • Experience with medical practice management systems and EMRs
  • Strong attention to detail and analytical skills
  • Desired Skills :

  • Excellent verbal, written, and interpersonal communication abilities
  • Ability to work collaboratively with physicians, staff, and patients
  • Commitment to confidentiality, quality customer service, and professionalism
  • Pay rate starting at $22 per hour, commensurate with experience

    Salary : $22

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