Orthopedic Scheduling & Admin Specialist

Description We are a small, contemporary orthopedic surgical practice specializing in shoulder and upper extremity care. Our team is dedicated to delivering exceptional, patient-centered care using the latest medical advancements and technology. We are seeking a highly skilled and motivated professional who will play a key role in both the administrative and operational success of our practice. This individual must be detail-oriented, reliable, compassionate, and able to thrive in a collaborative, close-knit environment.

JOB OVERVIEW

The selected candidate will oversee the full scope of back-office operations while also providing cross-coverage support for front-office and select clinical functions. This is a highly autonomous role requiring strong expertise in orthopedic billing, coding, and revenue cycle management, as well as the ability to manage day-to-day administrative and financial operations efficiently.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO

Managing all financial aspects of the practice, including billing, coding, electronic claims submission, and appeals Overseeing patient check-in/check-out processes and payment collection Reconciling daily charges, batch reports, and preparing bank deposits Running aging reports and managing collections through electronic statements Serving as the primary contact for vendors and managing invoice payments Identifying opportunities to improve revenue cycle efficiency and reduce operational gaps Managing contracting, credentialing, and licensure maintenance Conducting quarterly practice performance and financial health reviews ADDITIONAL CROSS-FUNCTIONAL RESPONSIBILITIES INCLUDE Coordinating surgical scheduling and patient care logistics Obtaining insurance authorizations and managing referrals Providing preoperative and postoperative patient education Issuing DME and managing inventory of medical supplies Maintaining accurate and up-to-date patient records, logs, and documentation Scheduling and confirming appointments and processing medical records requests Requirements

QUALIFICATIONS/LICENSE

Knowledge of orthopedic billing and coding standards and compliance requirements Familiarity with healthcare regulations, reimbursement models, and prior authorization processes Experience with credentialing, contracting, and licensure maintenance preferred

EDUCATION

High school diploma or equivalent required Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred Relevant certifications in medical billing and coding (e.g., CPC, CCS) preferred

EXPERIENCE

Must have experience in orthopedic billing and coding or direct experience using Modernizing Medicine EMA and Practice Management (PM) systems Experience managing revenue cycle processes, including claims submission, appeals, and collections Prior experience in a small practice or multi-functional healthcare role preferred Medical assistant experience preferred Insurance background preferred, with experience in posting charges considered a plus

SKILLS

Strong technical proficiency and ability to work within cloud-based systems and digital workflows Excellent attention to detail and organizational skills Ability to work independently and manage multiple responsibilities effectively Strong analytical and problem-solving skills Effective communication and interpersonal skills with a patient-centered approach Bilingual (English/Spanish) is a plus

PHYSICAL REQUIREMENTS

The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to talk and hear. Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.) Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms Occasionally lift and/or move up to 20-25 pounds. Fine hand manipulation (keyboarding). Travel may be required to existing or new TOI locations. #J-18808-Ljbffr Toi Health