Job Description
Annual Salary : $60k-$85k (varies depending on years of experience)
An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization.
Key Responsibilities
- Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases.
- Submit and track out-of-network claims to commercial payers.
- Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up.
- Review, correct, and resubmit denied or underpaid claims in a timely manner.
- Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies.
- Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement.
- Communicate with insurance carriers regarding claim status, appeals, and payment disputes.
- Work closely with the clinical and administrative teams to resolve coding and documentation issues.
- Maintain strict compliance with HIPAA and billing regulations.
- Generate A / R aging reports and participate in revenue cycle performance discussions.
- Maintain accurate patient account records and billing documentation.
Required Qualifications
Proven experience as a Medical Biller / A / R Specialist in a physician practice or surgical specialty.Orthopedic and spine billing experience is required.Out-of-network billing experience is required.Independent Dispute Resolution (IDR) experience is required.Strong understanding of commercial insurance reimbursement processes.Excellent attention to detail, organization, and follow-through.Ability to work independently in a fast-paced, high-volume environment.Strong communication skills for payer and internal team interactions.Atlas Search is a tri-state area recruitment agency, connecting new graduates, Advanced Practice Providers, Physicians and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups.
If you would like to learn more about the opportunities we offer, please submit your CV for consideration here.