Billing Specialist

Join Team Wellward: Billing SpecialistWellward 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.Position SummaryThe 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.ResponsibilitiesRevenue Cycle Management:Submit and monitor insurance claimsReview claims for accuracy and completeness prior to submissionTrack claim status and follow up on unpaid or delayed claimsIdentify, investigate, and resolve claim rejections and denialsPrepare and submit appeals when appropriateMonitor aging reports and prioritize collections activitiesInsurance & Authorizations:Verify insurance benefits and eligibility as neededUnderstand payer-specific billing requirementsAssist with prior authorization tracking and coordinationMaintain current knowledge of Medicare, commercial insurance, and workers' compensation billing requirementsPayment Processing:Post insurance and patient payments accuratelyReconcile daily deposits and payment reportsReview Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)Identify underpayments and pursue appropriate reimbursementPatient Financial Services:Assist patients with billing questions and account inquiriesExplain balances, deductibles, coinsurance, and payment optionsSupport patient payment plans when appropriateReporting & Quality Assurance:Monitor key billing and collection metricsAssist with revenue cycle reportingIdentify opportunities to improve billing workflows and reimbursement performanceMaintain compliance with HIPAA and payer regulationsPreferred Qualifications2+ years of medical billing experienceExperience with Medicare and Medicare Advantage plansFamiliarity with CPT, ICD-10, and HCPCS codingExperience with electronic health record (EHR) systemsStrong understanding of insurance claims processing and denial managementExcellent written and verbal communication skillsHigh attention to detail and organizational skillsProficiency with Microsoft Office and healthcare softwarePreferred but Not RequiredExperience in pain management, orthopedics, physical medicine, or regenerative medicineCoding certification (CPC, CCS, or equivalent)Experience with eClinicalWorks (eCW)Experience with prior authorizations and specialty proceduresWhat We ValueThink critically rather than simply follow scriptsTake ownership of problems and work toward solutionsEnjoy learning new systems and technologiesCommunicate professionally and compassionatelyWant to be part of healthcare innovation and reformThrive in a collaborative, fast-paced environmentBenefitsMedical Insurance with Employer ContributionSafe Harbor 401(k) with Company MatchDental, Vision, Life, Accident, Short-Term and Long-Term Disability Insurance OptionsPaid HolidaysPaid Time OffEmployee Discounts on Services and ProductsPositive, Collaborative Work EnvironmentOpportunities for personal growth and developmentBenefits subject to eligibility requirements and may change over time.Compensation: $19.00 - $21.00 per hourWe 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.