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Medical Billing Specialist (Orthopedic)

Community Orthopedic Medical Group
Mission Viejo, CA Full Time
POSTED ON 8/5/2025
AVAILABLE BEFORE 10/5/2025

A large, high-volume Orthopedic Surgery practice in Mission Viejo, CA is seeking an experienced Billing Specialist to join our Business Office team.

We’re looking for a detail-oriented professional with at least 3 years of orthopedic billing and collections experience. This role focuses on advanced billing functions. Must be confident working with orthopedic codes, modifiers, authorizations, and claim reviews.

Key Responsibilities

  • Perform account analysis and full AR follow-up across all payers (including Medicare, HMO, Workers’ Comp)
  • Support billing escalations and advanced claims resolution
  • Work collaboratively with our outside billing service provider
  • Assist with insurance authorizations and code verification
  • Navigate and troubleshoot orthopedic-specific billing challenges

Qualifications

  • Experience in orthopedic billing and collections
  • Strong understanding of coding, modifiers, and insurance protocols
  • Familiarity with claims review and denial management
  • Experience with NextGen and/or EPIC systems is highly preferred

Schedule & Benefits

  • Full-time position
  • Flexible scheduling available
  • Competitive salary and generous benefits package

Join a supportive, experienced team in a well-established practice that values accuracy, collaboration, and professionalism.

Job Type: Full-time

Pay: $27.00 - $32.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: In person

Salary : $27 - $32

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