Billing Specialist

Wellward

Billing Specialist

Lexington, KY
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Dental insurance

    Employee discounts

    Health insurance

    Paid time off

    Vision insurance

    401(k) matching

    Join Team Wellward: Billing Specialist

    Join a Different Kind of Healthcare Team

    Wellward Regenerative Medicine is seeking a highly organized, detail-oriented Billing Specialist who is excited about helping build a better healthcare model.

    We are a rapidly growing integrative medical practice focused on non-surgical orthopedics, sports medicine, pain management, regenerative medicine, mental health, and lifestyle medicine. Our mission is to improve outcomes while reducing unnecessary procedures, opioid reliance, and fragmented care.

    This role is ideal for someone who enjoys problem-solving, working with data, understanding insurance systems, and contributing to a mission-driven healthcare organization.

    Position Summary

    The Billing Specialist is responsible for managing the revenue cycle from claim submission through payment posting, denial management, appeals, and patient billing. This position works closely with providers, clinical staff, and administration to ensure accurate coding, timely reimbursement, and exceptional patient service.

    Success in this role requires attention to detail, critical thinking, accountability, and a willingness to continuously learn.

    Responsibilities

    Revenue Cycle Management

    Submit and monitor insurance claims

    Review claims for accuracy and completeness prior to submission

    Track claim status and follow up on unpaid or delayed claims

    Identify, investigate, and resolve claim rejections and denials

    Prepare and submit appeals when appropriate

    Monitor aging reports and prioritize collections activities

    Insurance & Authorizations

    Verify insurance benefits and eligibility as needed

    Understand payer-specific billing requirements

    Assist with prior authorization tracking and coordination

    Maintain current knowledge of Medicare, commercial insurance, and workers' compensation billing requirements

    Payment Processing

    Post insurance and patient payments accurately

    Reconcile daily deposits and payment reports

    Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)

    Identify underpayments and pursue appropriate reimbursement

    Patient Financial Services

    Assist patients with billing questions and account inquiries

    Explain balances, deductibles, coinsurance, and payment options

    Support patient payment plans when appropriate

    Reporting & Quality Assurance

    Monitor key billing and collection metrics

    Assist with revenue cycle reporting

    Identify opportunities to improve billing workflows and reimbursement performance

    Maintain compliance with HIPAA and payer regulations

    Preferred Qualifications

    2+ years of medical billing experience

    Experience with Medicare and Medicare Advantage plans

    Familiarity with CPT, ICD-10, and HCPCS coding

    Experience with electronic health record (EHR) systems

    Strong understanding of insurance claims processing and denial management

    Excellent written and verbal communication skills

    High attention to detail and organizational skills

    Proficiency with Microsoft Office and healthcare software

    Preferred but Not Required

    Experience in pain management, orthopedics, physical medicine, or regenerative medicine

    Coding certification (CPC, CCS, or equivalent)

    Experience with eClinicalWorks (eCW)

    Experience with prior authorizations and specialty procedures

    What We Value

    We are looking for team members who:

    Think critically rather than simply follow scripts

    Take ownership of problems and work toward solutions

    Enjoy learning new systems and technologies

    Communicate professionally and compassionately

    Want to be part of healthcare innovation and reform

    Thrive in a collaborative, fast-paced environment

    Benefits

    Medical Insurance with Employer Contribution

    Safe Harbor 401(k) with Company Match

    Dental, Vision, Life, Accident, Short-Term and Long-Term Disability Insurance Options

    Paid Holidays

    Paid Time Off

    Employee Discounts on Services and Products

    Positive, Collaborative Work Environment

    Opportunities for personal growth and development

    Benefits subject to eligibility requirements and may change over time.

    About Wellward

    At Wellward, we believe healthcare should help people reclaim function, purpose, and quality of life. Our team combines evidence-based medicine, regenerative therapies, lifestyle interventions, and patient empowerment to create a more complete approach to healing.

    Mending Joints. Elevating Lives. Healing Beyond Medicine.