Medical Billing & Accounts Receivable Specialist
18 days ago
Ronkonkoma
Job Description About Us: At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic/pain management field. We are looking for a skilled and motivated Medical Billing Specialist to join our team. The ideal candidate will have significant experience with medical billing and a deep understanding of various insurance types and companies. Position Overview: We are seeking a Medical Billing & Accounts Receivable Specialist to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial insurance plans. Prior experience in out-of-network billing, orthopedic, spine, or pain management services is highly preferred. Candidates with solid billing skills and a willingness to learn out-of-network workflows are encouraged to apply. Key Responsibilities: • Submit and follow up on medical claims to commercial payers, focusing on specialty and surgical services., • Track outstanding accounts, follow up on unpaid or underpaid claims, and resolve any issues to ensure timely reimbursement., • Review and appeal claim denials and discrepancies in payment, using payer communication tools and documentation., • Maintain up-to-date knowledge of payer policies, billing regulations, and coding guidelines., • Collaborate with clinical and administrative staff to ensure accurate documentation and billing practices., • Keep thorough and organized records of claims activity, account status, and insurance correspondence.Qualifications:, • Experience in billing for orthopedic, spine, or pain management services is preferred but not required., • Familiarity with out-of-network billing processes and understanding of the IDR process and appeals is a plus., • Working knowledge of Workers' Compensation, No-Fault, and commercial insurance plans., • Proficient in ICD-10, CPT, and modifier use., • Strong problem-solving and organizational skills., • Excellent communication skills, especially when working with insurance reps and internal teams., • Self-motivated with the ability to work independently and meet deadlines.Education and Experience:, • High school diploma or equivalent required., • Associate’s Degree in Health Information Technology or a related field preferred., • Certificate in medical billing or coding is a plus.Benefits:, • Competitive compensation with consideration for experience, skills, and growth potential, • Opportunities for professional development and advancement in a specialty billing role. zVKp6CdPSR