Billing Specialist

Join Team Wellward: Billing Specialist

Wellward Regenerative Medicine is seeking a highly organized, detail-oriented Billing Specialist who is excited about helping build a better healthcare model. We are a rapidly growing integrative medical practice focused on non-surgical orthopedics, sports medicine, pain management, regenerative medicine, mental health, and lifestyle medicine. Our mission is to improve outcomes while reducing unnecessary procedures, opioid reliance, and fragmented care. This role is ideal for someone who enjoys problem-solving, working with data, understanding insurance systems, and contributing to a mission-driven healthcare organization.

The Billing Specialist is responsible for managing the revenue cycle from claim submission through payment posting, denial management, appeals, and patient billing. This position works closely with providers, clinical staff, and administration to ensure accurate coding, timely reimbursement, and exceptional patient service. Success in this role requires attention to detail, critical thinking, accountability, and a willingness to continuously learn.

Revenue Cycle Management:

• Submit and monitor insurance claims
• Review claims for accuracy and completeness prior to submission
• Track claim status and follow up on unpaid or delayed claims
• Identify, investigate, and resolve claim rejections and denials
• Prepare and submit appeals when appropriate
• Monitor aging reports and prioritize collections activities

Insurance & Authorizations:

• Verify insurance benefits and eligibility as needed
• Understand payer-specific billing requirements
• Assist with prior authorization tracking and coordination
• Maintain current knowledge of Medicare, commercial insurance, and workers' compensation billing requirements

Payment Processing:

• Post insurance and patient payments accurately
• Reconcile daily deposits and payment reports
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)
• Identify underpayments and pursue appropriate reimbursement

Patient Financial Services:

• Assist patients with billing questions and account inquiries
• Explain balances, deductibles, coinsurance, and payment options
• Support patient payment plans when appropriate

Reporting & Quality Assurance:

• Monitor key billing and collection metrics
• Assist with revenue cycle reporting
• Identify opportunities to improve billing workflows and reimbursement performance
• Maintain compliance with HIPAA and payer regulations

Preferred Qualifications:

• 2+ years of medical billing experience
• Experience with Medicare and Medicare Advantage plans
• Familiarity with CPT, ICD-10, and HCPCS coding
• Experience with electronic health record (EHR) systems
• Strong understanding of insurance claims processing and denial management
• Excellent written and verbal communication skills
• High attention to detail and organizational skills
• Proficiency with Microsoft Office and healthcare software

Preferred but Not Required:

• Experience in pain management, orthopedics, physical medicine, or regenerative medicine
• Coding certification (CPC, CCS, or equivalent)
• Experience with eClinicalWorks (eCW)
• Experience with prior authorizations and specialty procedures

What We Value:

• Think critically rather than simply follow scripts
• Take ownership of problems and work toward solutions
• Enjoy learning new systems and technologies
• Communicate professionally and compassionately
• Want to be part of healthcare innovation and reform
• Thrive in a collaborative, fast-paced environment

Benefits:

• Medical Insurance with Employer Contribution
• Safe Harbor 401(k) with Company Match
• Dental, Vision, Life, Accident, Short-Term and Long-Term Disability Insurance Options
• Paid Holidays
• Paid Time Off
• Employee Discounts on Services and Products
• Positive, Collaborative Work Environment
• Opportunities for personal growth and development
• Benefits subject to eligibility requirements and may change over time.

About Wellward:

At Wellward, we believe healthcare should help people reclaim function, purpose, and quality of life. Our team combines evidence-based medicine, regenerative therapies, lifestyle interventions, and patient empowerment to create a more complete approach to healing.

Mending Joints. Elevating Lives. Healing Beyond Medicine.

Compensation: $19.00 - $21.00 per hour

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Wellward is more than a clinic – it's a new way to think about healthcare. With a focus on regenerative medicine our experienced team examines each patient's case with an innovative, targeted eye. Through advanced techniques and a personally tailored approach, we treat the structural cause of pain and injury with non-surgical orthopedic options. We will transform your everyday experience.