Medical Billing Specialist

Job description

As a Medical Billing Specialist , you'll play a key role in ensuring the financial health of our practice by managing the billing and reimbursement process from claim submission through payment resolution. The ideal candidate is detail-oriented, organized, and committed to providing excellent service to both patients and insurance partners. Submit accurate and timely insurance claims for physical therapy services. Review and resolve claim edits, denials, rejections, and unpaid balances. Follow up with insurance carriers to ensure prompt reimbursement and appeal denied claims when appropriate. Verify insurance eligibility, benefits, and authorization requirements. Post insurance and patient payments accurately and reconcile payment discrepancies. Process patient account adjustments, refunds, and payment arrangements as needed. Research and resolve billing inquiries from patients, providers, and insurance companies. Maintain accurate patient account documentation within the practice management system. Monitor accounts receivable aging and proactively work outstanding balances. Ensure compliance with payer guidelines, HIPAA regulations, and billing best practices. Collaborate with front office staff and clinical teams to improve billing accuracy and reimbursement efficiency. Stay current on insurance regulations, payer policies, and medical billing and coding requirements to ensure compliance. High school diploma or equivalent required; Associate's degree preferred. 1-2 years of medical billing, accounts receivable, or healthcare revenue cycle experience preferred. Experience working with commercial insurance, Medicare, Medicaid, and workers' compensation claims. Knowledge of CPT, ICD-10, medical terminology, and insurance reimbursement processes. Experience with insurance verification, claim submission, payment posting, and denial management. Strong attention to detail and ability to work independently Excellent communication and customer service skills Proficiency with Microsoft Office and medical billing software (Waystar, Japari, or similar systems preferred). The ideal candidate is someone who: Enjoys solving problems and investigating complex billing issues. Takes pride in accuracy and attention to detail. Communicates professionally and compassionately with patients and insurance representatives. Is self-motivated and able to manage priorities independently. Thrives in a collaborative team environment. Is committed to continuous learning and process improvement. If you're looking for a career where your work truly makes a difference in people's lives every day, we'd love to hear from you. Join LOPT and become part of a team dedicated to helping our patients move better, feel better, and live better. Since 1982, Lincoln Orthopedic Physical Therapy has been a trusted provider of outpatient orthopedic physical therapy services in the Lincoln community. Our reputation is built on exceptional patient care, clinical excellence, and a commitment to helping people return to the activities they love. Behind every successful patient experience is a dedicated administrative team that ensures accurate billing, timely reimbursement, and outstanding customer service. This is an onsite position and requires working from the clinic daily. Remote work is not available. Competitive compensation Excellent benefits package including 401k, health, dental, and generous paid time off Multiple opportunities for professional development, specialization, and leadership Employee discount plans Employee Assistance Program (EAP) Investment from a company that wants you to succeed and thrive A collaborative, supportive, family-friendly work environment The opportunity to work alongside highly skilled clinicians and an exceptional support team A company culture focused on investing in its people and celebrating success