Billing Representative (Ancillary Services)
Description:
Job Description
Description:About the Role
OrthoNJ is seeking an experienced Orthopedic Medical Billing Representative specializing in ancillary orthopedic care services including Physical Therapy, DME, and Viscosupplementation. This position offers the opportunity to play a crucial role in our revenue cycle management while ensuring compliance with billing regulations and insurance requirements.
Why Join OrthoNJ?
Work with a respected orthopedic group practice in New Jersey
Contribute to a team dedicated to excellent patient care
Opportunity to specialize in orthopedic, pain management, and podiatry billing
Stable healthcare environment with competitive benefitsRequirements:Key Responsibilities
Claims Processing & Management:
Process and submit all paper and electronic claims for assigned carriers
Review clearinghouse edit reports daily and resolve issues promptly
Manage specialized billing for physical therapy, occupational therapy, DME, Viscosupplementation/gel injections, and other orthopedic services
Verify completeness of insurance claim information before submission
Account Management:
Monitor unpaid insurance claims and follow up with carriers
Appeal underpayments and process refund requests
Coordinate medical records requests and additional documentation
Stay current with payor policy and guideline updates
Patient Accounts & Payment Processing:
Establish payment plans within approved guidelines
Manage patient A/R and statement processing
Post adjustments and payments according to protocol
Identify underpayments and resolve discrepanciesWhat You'll Need to Succeed
Required Qualifications:
High school diploma or GED
Minimum 18 months experience in physician group practice billing
Knowledge of CPT and ICD-10-CM coding for orthopedic, podiatry & pain management procedures
Familiarity with HIPAA & OSHA guidelines
Experience with medical practice management systems and EMRs
Strong attention to detail and analytical skills
Desired Skills:
Excellent verbal, written, and interpersonal communication abilities
Ability to work collaboratively with physicians, staff, and patients
Commitment to confidentiality, quality customer service, and professionalism
Pay rate starting at $22 per hour, commensurate with experience
Full-time