Medical Biller (IN PERSON)

Medical Biller

Location: Portsmouth, NH
Department: Billing
Reports To: Billing Manager

Position Summary

Atlantic Orthopaedics & Sports Medicine is seeking a Medical Biller to support the billing and revenue cycle operations for a multi-provider orthopaedic practice with 22 providers across multiple service lines. This role is responsible for accurate charge processing, claim follow-up, payment posting, and patient account support, while also serving as a backup to the Credentialing Specialist to ensure continuity of provider enrollment and compliance.

This position plays a key role in maintaining timely reimbursement, minimizing denials, and supporting provider readiness across payer networks.

Primary Billing Responsibilities

• Perform charge entry and ensure timely and accurate claim submission
• Reconcile daily batches and payment postings
• Follow up on unpaid, underpaid, or denied insurance claims
• Prepare and submit insurance appeals as needed
• Respond to patient billing inquiries via phone and correspondence
• Collect patient payments and assist with payment plan arrangements
• Verify insurance eligibility and benefits
• Maintain accurate documentation within billing and practice management systems
• Assist with additional billing and clerical duties as assigned

Credentialing Support Responsibilities (Backup Coverage)

• Serve as a backup to the Credentialing Specialist to ensure uninterrupted credentialing operations
• Assist with maintaining provider credentialing records for physicians and advanced practice providers
• Support completion and follow-up of credentialing and recredentialing applications
• Assist with maintaining provider data in credentialing systems and payer portals (e.g., CAQH)
• Track license, DEA, and certification expiration dates and flag upcoming renewals
• Help ensure practice demographics remain accurate with payers and facilities
• Maintain confidentiality of all provider and credentialing information

Knowledge, Skills & Abilities

• Knowledge of insurance payers including Medicare, Medicaid, and commercial plans
• Familiarity with CPT and ICD-10 coding, including modifiers
• Strong attention to detail and organizational skills
• Ability to manage multiple priorities in a fast-paced environment
• Excellent written and verbal communication skills
• Strong problem-solving and analytical abilities
• Ability to work independently and collaboratively within a team
• Intermediate proficiency in Microsoft Office (Word, Excel, Outlook)
• Comfort learning new systems and workflows
• Knowledge of medical terminology

Preferred Experience:

• Experience with medical billing, coding, or accounts receivable
• Prior exposure to provider credentialing or enrollment processes
• Experience with ModMed EHR a plus

Education & Experience

• High school diploma or equivalent required
• Associate degree or higher in healthcare or business preferred
• At least 1 year of medical billing, coding, or accounts receivable experience required
• Credentialing experience preferred but not required (training provided for backup coverage)

Why Join Atlantic Orthopaedics & Sports Medicine

• Established, growing orthopaedic practice with 22 providers
• Collaborative, professional team environment
• Opportunity to expand skills across billing and credentialing
• Full-time position with competitive benefits, including:
• Medical and dental insurance
• Paid holidays and earned time off
• 401(k) plan
• And more

Pay: From $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Parental leave
• Vision insurance

Work Location: In person