Friday 8 am
5 pm Advertised Salary\t$53,000
57,000\nPosting Date\t07/22/2026\nOpen until filled\tYes\nClosing Date Proposed Starting Date\t09/01/2026\nSpecial Instructions to Applicants We are unable to offer a work visa sponsorship for this position,.

You must be authorized to work in the U.S. to apply. Location of Vacancy\tAthens Area\nEEO Policy Statement The University of Georgia is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, genetic information, national origin, race, religion, sex, or veteran status or other protected status. Persons needing accommodations or assistance with the accessibility of materials related to this search are encouraged to contact Central HR ( hrweb@uga.edu). USG Core Values Statement The University System of Georgia is comprised of our 25 institutions of higher education and learning, as well the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards. More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 08.02.18.01.02. Additionally, USG supports Freedom of Expression as stated in Board Policy 06.05 Freedom of Expression and Academic Freedom.\nPosition Information Classification Title\tMedical Billing Specialist III\nFLSA\tNon-Exempt\nFTE\t1.00\nMinimum Qualifications High school diploma or equivalent and 5 years of related experience

Preferred Qualifications UHC Minimum:

Minimum of five (5) years experience in a healthcare environment with direct experience with financial counseling, insurance billing and follow-up.

Knowledge of medical terminology related to Current Procedural Terminology ( CPT), Healthcare Common Procedure Coding System ( HCPCS) and International Statistical Classification of Diseases ( ICD-10).

UHC Preferred:

Certified Professional Coder ( CPC) certification, which includes staying current with AAPC (American Academy of Professional Coders) membership.\n
Bachelor's or Associate degree in English, Business Administration or other related field from an accredited college or university preferred.\n
Certified Professional Medical Auditor ( CPMA) certification preferred.\n
Three (3) years experience in a multispecialty practice or hospital setting.

Position Summary The Medical Billing Specialist plays a key role within the Business Services Department and reports to the Coding and Compliance Manager. This position is responsible for ensuring accurate and timely preparation, review, correction, and submission of medical, vision, and CAPS claims in accordance with Medicare guidelines, along with processing insurance remittances. The role also includes monitoring outstanding claims, addressing delays and denials, maintaining up-to-date medical terminology knowledge, and delivering customer support by managing phone inquiries, processing payments, and advising students on insurance benefits and account balances. Knowledge, Skills, Abilities and/or Competencies

Demonstrates strong customer service, verbal communication, and interpersonal skills, along with proficiency in Microsoft Office, basic math, and the ability to manage multiple tasks with accuracy and attention to detail.\n
Applies a comprehensive understanding of insurance payers and reimbursement methodologies as they relate to billing processes.\n
Maintains proficiency in Electronic Medical Record ( EMR) systems to support accurate documentation and billing activities.\n
Communicates effectively and professionally with colleagues and cross-functional departments to resolve coding, billing, and claims issues.\n
Possess and/or willing to obtain a Certified Professional Coder ( CPC) certification from a nationally accredited organization.

Physical Demands Ability to see objects closely, as in reading. Must be able to operate all equipment required. Ability to sit for long periods of time (4-8 hours). Must be able to perform fine motor skills. Is driving a responsibility of this position?\tNo\nIs this a Position of Trust?\tYes\nDoes this position have operation, access, or control of financial resources?\tYes\nDoes this position require a P-Card?\tNo\nIs having a P-Card an essential function of this position?\tNo\nDoes this position have direct interaction or care of children under the age of 18 or direct patient care?\tYes\nDoes this position have Security Access (e.g., public safety, IT security, personnel records, patient records, or access to chemicals and medications)\tYes\nCredit and P-Card policy Be advised a credit check will be required for all positions with financial responsibilities. For additional information about the credit check criteria, visit the UGA Credit Background Check website. Background Investigation Policy Offers of employment are contingent upon completion of a background investigation including, a criminal background check demonstrating your eligibility for employment with the University of Georgia; confirmation of the credentials and employment history reflected in your application materials (including reference checks) as they relate to the job-based requirements of the position applied for; and, if applicable, a satisfactory credit check. You may also be subject to a pre-employment drug test for positions with high-risk responsibilities, if applicable. Please visit the UGA Background Check website.\n

Duties/Responsibilities Duties/Responsibilities Claims Processing:

Reviews charge tickets and SOAP notes to ensure claims are prepared accurately.\n
Submits and processes all electronic claims through our third-party clearinghouse to ensure timely and accurate billing.\n
Prepares and distributes

HCFA-1500

claim forms via mail for claims that cannot be submitted electronically.\n

Reviews clearinghouse reports for rejected claims and implements corrective actions to reduce future denials.\n
Responds to billing inquiries via email, fax, instant messaging, and phone in accordance with departmental policies; submits secondary claims with the primary payer's explanation of benefits ( EOB).\n
Collaborates with the University of Georgia Athletic Department and Athletic Insurance Coordinator to ensure timely and accurate processing of charges for services rendered at the University Health Center, including medical, pharmacy, dental, and vision services. Percentage of time\t45 Duties/Responsibilities Payments and Claims Follow-Up\n
Post insurance payments accurately to ensure the account balance is correct.\n
Reviews remittances and insurance Explanation of Benefits (EOB's) to verify accurate contractual adjustments and escalate discrepancies to the appropriate Business Services staff.\n
Researches, analyzes, and monitors unpaid claims to identify lost revenue related to coding errors, unbilled services, and incorrect reimbursements.\n
Monitors aging claims and communicates with insurance carriers regarding claims exceeding 90 days.\n
Submits appeals for claims denied due to timely filing and provides documentation supporting timely submission through the EMR system.\n
Communicate with patient and/or family member regarding insurance coverage and claim status, including appeal processes when appropriate.\n
Corrects claims discrepancies and resubmits claims to ensure proper resolution and reimbursement.\n
Maintains and reconciles daily deposit records. Percentage of time\t40 Duties/Responsibilities Customer Service Support\n
Answers incoming calls courteously and professionally, ensuring high level of customer service.\n
Provides a positive first impression to all customers, including students, insurance carrier reps. and departmental liaisons.\n
Assists callers by explaining charges within the Practice Management System ( PMS) and addressing related inquiries.\n
Utilizes the PMS to effectively support inquiries related to balances, insurance details, diagnoses, billed amounts, adjustments, and payments.\n
Reviews notes or other actions taken on accounts to resolve inquiries efficiently and minimize unnecessary call transfers.\n
Escalate complex issues to supervisor or other departments, providing relevant account details and documentation.\n
Documents all telephone interactions thoroughly by entering detailed notes into the system to ensure continuity of service. Percentage of time\t10 Duties/Responsibilities Coding and Compliance Knowledge\n
Understands Medicare, Medicaid, Tricare and other government payers as it relates to collections and billing.\n
Ensures patient accounts contain accurate Current Procedural Terminology ( CPT), Healthcare Common Procedure Coding System ( HCPCS) and International Statistical Classification of Diseases ( ICD-10) codes are assigned to patient accounts by University Health Center ( UHC) providers.\n
Extensively uses the Point N Click (PnC) information system, CPT, HCPCS and ICD coding manuals as well as various supporting resources related to coding and medical science.\n
Identifies and assigns appropriate codes for new services.\n
Reviews and removes outdated codes from the Fee Schedule to maintain accuracy.\n
Communicates coding updates and discrepancies to the Coding and Compliance Manager.

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