Medical Billing Specialist- Spine

Job Title: Medical Biller - Spine Specialty Job Description: We are seeking a detail-oriented and experienced Medical Biller to join our spine specialty practice. The Medical Biller will play a critical role in ensuring accurate and timely billing processes for our patients receiving spine-related treatments, such as surgical procedures, pain management, and diagnostic services. This position requires a strong understanding of medical billing codes, insurance regulations, and spine-specific procedures to optimize reimbursement and maintain compliance. Key Responsibilities: • Prepare and submit accurate medical claims to insurance companies, government payers (e.g., Medicare, Medicaid), and other third-party payers for spine-related procedures using ICD-10, CPT, and HCPCS codes. • Verify patient insurance coverage and obtain necessary authorizations for spine surgeries, imaging (e.g., MRI, CT), and other treatments. • Review patient charts and medical records to ensure proper coding of diagnoses and procedures specific to spine care, such as spinal fusions, laminectomies, or epidural injections. • Follow up on unpaid claims, manage denials, and initiate appeals for rejected claims to maximize revenue. • Communicate with patients regarding outstanding balances, explain bills, and establish payment plans as needed. • Post insurance payments, contractual adjustments, and patient payments, ensuring accurate account reconciliation. • Conduct audits and coding reviews to ensure documentation accuracy for spine-specific services. • Collaborate with physicians, coders, and administrative staff to resolve billing discrepancies and ensure compliance with healthcare regulations, including HIPAA. • Maintain proficiency in billing software (e.g., Epic, Meditech) and electronic medical records (EMR) systems. • Stay updated on changes in medical billing regulations, insurance policies, and spine-specific coding guidelines. Qualifications: • High school diploma or equivalent required; associate’s or bachelor’s degree in health information technology, healthcare administration, or related field preferred. • Minimum of 2-3 years of experience in medical billing, preferably in a spine, orthopedic, or surgical specialty practice. • Strong knowledge of medical billing codes (ICD-10, CPT, HCPCS) and insurance regulations, with familiarity in spine-related procedures and terminology. • Proficiency in medical billing software and EMR systems (e.g., Epic, Meditech, or similar). • Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) certification is a plus. • Excellent attention to detail, analytical skills, and problem-solving abilities to address complex billing issues. • Strong communication skills to interact with patients, insurance representatives, and healthcare providers professionally. • Ability to multitask, prioritize, and work independently in a fast-paced environment. • Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality. Work Environment and Benefits: • Full-time position, typically 40 hours per week, with potential for part-time or flexible schedules depending on the employer. • Opportunity to work in a dynamic spine specialty practice, collaborating with a multidisciplinary team of surgeons, pain management specialists, and administrative staff. • Benefits may include health, dental, and vision insurance, paid time off, and a 401(k) plan, depending on the employer. Job Type: Full-time Pay: $20.00 - $27.00 per hour Expected hours: 40 per week Benefits: • 401(k) • Dental insurance • Flexible schedule • Health insurance • Paid time off • Vision insurance Experience: • Medical billing: 3 years (Required) • Neurosurgery: 1 year (Required) Work Location: Remote Apply tot his job Apply To this Job