Medical Billing Specialist

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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

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