Columbia Orthopaedic Group

Join our team!

Columbia Orthopaedic Group is looking for a detail-oriented Insurance Follow-Up Specialist to manage insurance claims from submission to resolution. This role ensures accurate billing, timely reimbursement, and compliance with insurance regulations in an orthopedic practice. This role ensures accurate billing, timely reimbursement, and compliance with insurance regulations in an orthopedic practice, and the ability to navigate complex processes efficiently.

Working Conditions:

• Full-time, Monday–Friday in an office setting.
• Hybrid Opportunity: Eligible after six months of successful performance.

 Key Responsibilities:

• Verify patient insurance and ensure claim accuracy.
• Submit, track, and manage insurance claims per payer guidelines.
• Follow up on unpaid or denied claims, resolve issues, and process adjustments.
• Maintain compliance with billing regulations and document all activities.
• Communicate with patients regarding claims, coverage, and outstanding balances.
• Generate reports and recommend process improvements.

Qualifications:

• Education: High school diploma required; Associate’s/Bachelor’s in Healthcare or Business preferred.
• Experience: Medical billing/coding experience, preferably in orthopedics.
• Proficiency in medical billing software & EHR systems.
• Knowledge of insurance processes, CPT, ICD-10, and HCPCS coding.
• Strong communication, problem-solving, and multitasking abilities.
• Certifications (Preferred): CPC, CCS, or equivalent (eligible for pay differential).

 Benefits:

• Health, Dental and Vision insurance
• Employer-sponsored disability and life insurance
• Paid Time Off (PTO)
• 401k with a company match

  Join our team and play a vital role in optimizing our revenue cycle and patient experience!