Medical Billing & Accounts Receivable Specialist

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.