Billing & Collections Specialist

Job Description

Job Description

Description:

About Us

Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are looking for a detail-oriented, experienced Billing & Collections Specialist to join our billing team and play a key role in the financial health of our practice.

Position Overview

The Billing & Collections Specialist is responsible for the timely follow-up of rejected claims, unpaid insurance balances, and patient accounts receivable. This role requires a strong understanding of the revenue cycle in a physician group practice setting, the ability to build productive relationships with commercial payors, and a commitment to accuracy, confidentiality, and professionalism.

What You'll Do

• Follow up on rejected and unpaid insurance claims using EOB forms, aged A/R reports, and payor portals; initiate follow-up on claims 45+ days outstanding
• Reprocess paper and electronic claims for assigned carriers; review and resolve clearinghouse edit reports daily
• Post adjustments, withholds, deductibles, and coinsurance transfers; submit balanced payment batches daily
• Appeal payments that do not align with contractual agreements; partner with the Billing Manager on persistent payor issues and denial language
• Manage patient accounts, including payment plan setup, statement processing, collection letter generation, and outside agency referrals
• Respond to written and phone inquiries from patients and insurance carriers with professionalism and accuracy
• Verify patient eligibility and benefits; ensure all account information is current and accurate
• Monitor monthly payor policy/guideline updates and report relevant changes to the Billing Manager
• Scan and document all correspondence, appeals, and actions taken in the practice management system
• Process requests for insurance and patient refunds, submitting to the Billing Manager for approval
• Support the team with payment posting (including in-absence coverage) and general billing office functions

What We're Looking For

• Minimum 2 years of revenue cycle experience in a physician group practice billing department — required
• Orthopaedic billing experience — required
• Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required
• Familiarity with CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures
• Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus)
• Strong analytical skills with exceptional attention to detail
• Excellent verbal and written communication skills
• Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued
• Ability to work collaboratively with physicians, clinical staff, patients, and insurance representatives
• Knowledge of HIPAA and OSHA guidelines
• HS diploma or GED required

Why Join the UCOG Division of OrthoNJ, LLC?

We offer a supportive, team-oriented environment where your expertise is valued and your contributions make a direct impact. Join a practice that takes pride in delivering exceptional patient care — and equally exceptional support behind the scenes.

Union County Orthopaedic Group is an equal opportunity employer.

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OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $18-30 hourly. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.