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.
- Supportive and team-oriented work environment.
Job Tags
Full time,