Medical Billing Specialist – Remote

We are seeking a Billing Specialist to join our team and support a client based in Oregon. In this role, you will manage patient inquiries, review outstanding and denied insurance claims, handle appeals, and maintain accounts receivable in line with clinic policies. The work schedule is 8:00 AM – 5:00 PM Pacific Time.

Key Responsibilities

• Process insurance claims, including worker’s compensation when applicable, across all financial categories

• Communicate with insurance providers to ensure timely payment of claims, resolve account or insurance discrepancies, and document all account actions

• Manage the appeals process and follow up on aging claims

• Respond to patient questions regarding account balances, payments, and refunds

• Stay current with clinic policies, insurance procedures, and medical terminology

• Engage in professional development to remain up to date with healthcare industry trends and practices

• Contribute to innovative data and analytics initiatives aimed at improving orthopedic billing operations

• Perform additional duties as assigned

Required Qualifications

• High school diploma or equivalent (college coursework or certifications preferred)

• Excellent verbal and written communication skills, with a focus on providing outstanding phone support and building positive relationships

• Strong organizational abilities and attention to detail in managing insurance information and fee schedules

• Proficient in office software systems with the ability to type at 50+ words per minute preferred

• Willingness to learn industry practices and medical terminology

• Analytical thinker with a drive to contribute to process improvements and innovation

• Fast learner who enjoys collaborative teamwork and continuous improvement

• Commitment to our core values: resilience, altruism, communication, achievement, and determination

Preferred Experience

• Two or more years of billing experience in a hospital or surgical setting.

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