Medical Billing & Diagnostic Services Representative - Barnstable, MA

Medical Billing & Diagnostic Services Representative

Location: Sandwich, MA

Job Summary

We are seeking a detail-oriented, organized individual to join our billing department at a busy orthopedic medical practice. This position combines medical billing and insurance follow-up with scheduling support, insurance authorization processing, and coordination of diagnostic testing, including MRIs and other imaging services.

The ideal candidate will have strong organizational and communication skills, an understanding of medical insurance processes, and the ability to manage multiple responsibilities while providing excellent service to patients and staff.

Job Responsibilities

Medical Billing & Insurance Follow-Up

• Retrieve and post daily electronic remittance advice (ERA) and insurance payments for designated insurance plans.
• Process and submit insurance claims for assigned payers
• Review and appeal denied claims within applicable timely filing limits.
• Monitor accounts receivable (A/R) reports and claim statuses for designated insurance plans.
• Address insurance correspondence, payment issues, and claim inquiries.
• Assist patients with questions regarding explanations of benefits (EOBs), insurance coverage, billing statements, and payment policies.
• Provide support to other billing team members with appeals, payment posting, and insurance or reimbursement questions.
• Provide phone coverage for the billing department's hunt group.
• Perform scanning and other administrative duties as needed.

Scheduling & Authorization Coordination

• Assist with scheduling diagnostic testing, including MRIs and other imaging services, as needed.
• Obtain and process insurance authorizations for diagnostic testing and coordinate with insurance companies, imaging facilities, and referring providers.
• Verify insurance requirements and ensure necessary authorizations are obtained before scheduled testing.
• Follow up on pending authorizations and communicate approval status, delays, or additional requirements to the appropriate staff.
• Assist with scheduling-related inquiries and coordination between patients, providers, and outside facilities.
• Maintain accurate documentation of authorizations, scheduling activities, and insurance communications.

Team Support

• Collaborate with billing department staff and other office personnel to ensure efficient workflows and timely follow-up.
• Assist with additional billing, scheduling, and administrative responsibilities as needed.

Education & Experience

• High school diploma or GED required.
• One year of previous medical office, medical billing, insurance, scheduling, or authorization experience preferred.
• Familiarity with medical insurance terminology and electronic medical records is a plus.
• Strong attention to detail, organizational skills, and communication skills.
• Ability to prioritize tasks, work independently, and collaborate effectively with a team.

Physical Requirements

• Ability to sit and/or stand for extended periods.

Job Type

Full-time

Benefits

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule

• 8-hour shift
• Day shift
• Monday through Friday