Medical Billing Specialist for Hilton Head Orthopedics

Job Title: Medical Billing Specialist
Location: Hilton Head Orthopedics – Hilton Head, SC

Overview:
Hilton Head Orthopedics is looking for a detail-driven and dependable Medical Billing Specialist to join our finance team. This full-time, in-office role is essential to the financial operations of our practice, ensuring that billing and reimbursement processes are handled efficiently and accurately. You’ll be a key part of a supportive, high-performing team, contributing to the financial health of our organization while helping patients navigate their billing experience with confidence.

Key Responsibilities:

• Account Management: Post and collect payments from patients and insurance providers, ensuring transactions are recorded accurately and in a timely manner.

• Claims Submission & Follow-Up: Submit insurance claims and follow up on outstanding balances to ensure maximum reimbursement.

• EOB Review & Resolution: Analyze Explanations of Benefits (EOBs) to resolve patient and payer inquiries.

• Patient Billing Support: Prepare and distribute patient statements, ensuring clear, concise, and accurate communication.

• Payment Processing: Accurately post payments, balance accounts, and generate daily financial reports.

• Claims Monitoring: Track and follow up on unpaid or denied claims, working toward resolution and payment.

• Delinquent Accounts: Report and assist with collection efforts for overdue patient accounts.

• Administrative Support: Answer phone inquiries, assist with mail, and perform general clerical duties as needed to support the finance team.

Additional Responsibilities:

• Maintain accurate and compliant billing records in line with payer regulations.

• Resolve billing complaints with professionalism and empathy.

• Contribute to financial reporting and identify areas for process improvement.

• Stay updated on changes in medical billing regulations and insurance policies.

Performance Expectations:

• Accuracy: Maintain meticulous attention to detail in billing records and data entry.

• Efficiency: Prioritize tasks effectively to meet deadlines and reduce claim turnaround times.

• Professionalism: Provide courteous, knowledgeable service to patients, staff, and insurance providers.

• Problem-Solving: Proactively resolve discrepancies and denials with a solution-focused mindset.

Success Metrics:

• Timely and accurate submission of claims and posting of payments

• Decrease in denied claims and shortened resolution timelines

• Positive patient interactions and minimal billing complaints

• Adherence to billing standards and compliance regulations

Qualifications:

• Experience: Minimum of 1 year in medical billing, with working knowledge of ICD-10 coding.

• Skills:

  • Strong understanding of insurance guidelines, billing workflows, and EOBs

  • Proficiency with billing software and Microsoft Office (especially Excel and Word)

• Education: High School Diploma or equivalent required; certification in medical billing/coding preferred.

Schedule:

• Monday – Friday | 8-hour shifts