Medical Billing Specialist

Client Overview: Our client is a rapidly growing specialty medical practice focused on comprehensive pain management and spine care. The organization is expanding and bringing billing operations in-house, building out their revenue cycle function to support increasing patient volume and improve operational efficiency. They are currently looking to add a Medical Billing Specialist to their team. Salary/Hourly Rate: $25/hr - $28/hr (Depending on experience) Position Overview: Our client is seeking an experienced Medical Billing Specialist to join their growing in-house Billing team. This is a newly created role reporting to the Billing Manager, with the opportunity to help strengthen day-to-day billing operations for a high-volume pain management/spine practice. The ideal candidate is detail-oriented, proactive, and confident in managing the billing cycle, especially EOB interpretation, follow-up/denials, and working across multiple insurance payers (including out-of-network scenarios). Responsibilities of the Medical Billing Specialist: Generate, review, and submit medical claims accurately and on time. Conduct consistent follow-up on unpaid, denied, or underpaid claims. Review and interpret Explanation of Benefits (EOBs) to resolve discrepancies. Work claim issues through to resolution with multiple insurance carriers (commercial/government as applicable). Support billing activities related to the No Surprises Act (NSA) cases and documentation needs. Process EFT (Electronic Funds Transfer) payments and ensure accurate posting/reconciliation support. Maintain accurate billing practices and support proper coding/billing workflows. Partner with internal teams to resolve billing questions and prevent rework. Maintain compliance with payer rules and applicable regulations. Support out-of-network billing/workflows (when applicable), including enhanced follow-up and payer communication. Required Experience/Skills for the Medical Billing Specialist: 2+ years of medical billing experience. Strong follow-up/claims resolution experience (denials, underpayments, rejections). Hands‑on experience reviewing and interpreting EOBs. Working knowledge of medical coding and billing procedures. Experience with EMR/billing systems (experience in eClinicalWorks (eCW) strongly valued). High attention to detail, organization, and ability to manage volume/priorities. Strong communication and problem‑solving skills (comfortable calling payers and escalating appropriately). Preferred Experience/Skills for the Medical Billing Specialist: Prior billing experience in pain management, orthopedics, and/or neurosurgery. eClinicalWorks (eCW) user experience. Knowledge of NSA billing requirements and arbitration processes. Experience handling out-of-network claims and navigating payer‑specific requirements across multiple carriers. Education Requirements: High school diploma or GED required. Billing/coding certifications are a plus. Benefits: Atrium Care Package available, upon eligibility (including healthcare plans, discount programs, and paid time off). Job Wrapping ID: #LI-AJ3 #J-18808-Ljbffr