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About the Role
Groth Pain & Spine is seeking an experienced Billing Specialist to manage the complete billing process for their chiropractic and pain management practice, ensuring accuracy in coding, timely claims submission, and effective follow-up on unpaid accounts. This role is crucial for the practice's financial health and ability to provide excellent patient care.
Responsibilities
- Monitor accounts receivable and aggressively follow up on denied or delayed claims.
- Appeal rejections within payer-specific timeframes.
- Post insurance and patient payments accurately and reconcile daily financial batches.
- Identify systemic underpayments and contract variances.
- Provide regular billing reports, collection metrics, and revenue analytics to the Practice Manager.
- Answer patient billing questions and explain insurance benefits, deductibles, and co-pays with empathy and professionalism.
- Establish manageable payment plans and coordinate with front-desk staff on outstanding balances.
- Verify patient insurance eligibility, benefits, and coverage for specialized pain management and chiropractic treatments.
- Participate in practice and affiliate efforts to achieve established productivity goals.
- Learn, use, and analyze the software programs utilized across the practice.
- Adhere to policies and procedures for addressing situations that endanger the welfare of patients, including mandatory reporting laws.
Requirements
- Minimum of 5+ years of medical billing and coding experience in chiropractic, physical therapy, or pain management settings.
- At least 1-2 years of Chiropractic or Physical Therapy billing experience.
- Deep familiarity with spine-related CPT codes, global surgical periods, modifier usage, and diverse payer types (Commercial, Medicare, PIP/Auto, and Workers' Compensation).
- Proficiency with major EHR and practice management billing software.
- Strong analytical and problem-solving abilities with high attention to detail.
- Discretion in handling confidential financial and patient data.
- Clear, effective communication skills.
- Ability to stand or sit for extended periods and navigate a busy office environment.
- Ability to occasionally lift and/or move up to 25 lbs.
Skills
- Medical billing
- Medical coding
- Accounts receivable
- Claims submission
- Claims follow-up
- Appealing rejections
- Payment posting
- Financial reconciliation
- Revenue cycle management
- Insurance verification
- Patient billing inquiries
- EHR software
- Practice management software
- Analytical skills
- Problem-solving
- Attention to detail
- Communication skills
Location
- Long Island, NY
Work Type
- Full-time
Experience Level
- 5+ years of medical billing and coding experience
- 1-2 years of Chiropractic or Physical Therapy billing experience
Education Level
- High school diploma required
- Associate or bachelor's degree in business administration, Healthcare Management, or a related field is a plus
About the Company
- Long Island's Premier Pain Management Practice.
- A growing, multidisciplinary healthcare team including Physicians, NPs, PAs, Chiropractors, Physical Therapists, Massage Therapists, Psychologists, and Licensed Clinical Social Workers.
- A practice that genuinely invests in the people who make great patient care possible.
Equal Opportunity
- Groth Pain & Spine is an Equal Opportunity Employer.