Atlas Search
NY, USA
Annual Salary: $60k-$85k (varies depending on years of experience)
An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization.
Key Responsibilities
Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases.
Submit and track out-of-network claims to commercial payers.
Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up.
Review, correct, and resubmit denied or underpaid claims in a timely manner.
Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies.
Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement.
Communicate with insurance carriers regarding...