Medical Biller - Suncoast Orthopaedic Surgery & Sports Medicine

About us

Join the SOI team at our state-of-the-art Medical Facility as a Medical Biller for our nationally known providers. At SOI we strive to provide the best patient experience in the industry.

Our physicians and staff work together to ensure that patients receive complete orthopedic care, whether surgical or nonsurgical, for problems of the bones, joints and muscles. SOI physicians are board certified in Orthopedics and Sports Medicine. The team is composed of a Shoulder Specialist, Hand Specialist , Foot and Ankle Specialist, and two Physicians with 55 combined years of Hip and Knee Procedures. SOI Physicians are known regionally and throughout the world as leaders in their fields. They lecture frequently, train others and develop new surgical techniques and many of the breakthrough hardware used in today’s surgeries.

Job Summary

We are seeking a detail-oriented Medical Biller to join our healthcare team. The Medical Biller will be responsible for submitting medical claims to insurance companies and payers, ensuring accurate and timely reimbursement for services provided.

Responsibilities:

• Coding, billing, submitting electronic bills to insurance companies, following up on billing status and collections, contacting insurance carriers for payment and appealing any necessary claims.
• Review patient charts for coding accuracy
• Ability to investigate, and obtain a resolution of problems with accounts.
• Report missing or incomplete documentation and work with health care professionals to correct inaccuracies
• Serves as a resource regarding coding questions
• Administrative tasks such as accounts receivable, daily deposits, managing refund requests, running credit balance reports and accuracy of daily/weekly/monthly reports.
• Verifies insurance coverage, eligibility, benefits, obtain authorizations and pre-certs as determined by the individual insurance companies as needed.
• Process claims
• Handle patient inquiries/disputes
• Review outstanding A/R
• Insurance follow-up
• Appeal claims
• Surgery Charge Entry

Qualifications:

• A high school diploma or GED certificate is required.
• 1 year of prior billing experience is preferred.
• Proficiency with coding practices, orthopedic-specific forms, medical terminology, ICD-10 codes and private insurance and medicare billing preferred
• Experience in using electronic health record (EHR) systems and billing software **ModMed experience preferred but not required
• Strong attention to detail and accuracy in data entry and documentation
• Excellent written and verbal communication skills
• Ability to work independently and prioritize tasks effectively

Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned to meet the ongoing needs of the organization.