A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.
Revenue Cycle Specialist Georgia Pain and Spine Institute Decatur, GA Job Details Full-time 5 hours ago Qualifications Appeals Customer communication Medicare High school diploma or GED Medicare regulations Centers for Medicare and Medicaid Services (CMS) Medical billing and coding communication with insurance companies Medical insurance appeals management Payment posting in medical billing systems Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medical claims submission Medicaid Insurance claims appeal handling Medical terminology
Full Job Description Position Summary:
Georgia Pain & Spine Institute is seeking an experienced Medical Biller to oversee the medical billing process from claim submission through payment. The ideal candidate will have strong knowledge of insurance billing, reimbursement, denials management, and revenue cycle processes, with experience in pain management or another surgical specialty preferred. The Medical Biller plays a key role in ensuring accurate claim submission, maximizing reimbursement, reducing denials, and maintaining compliance with payer guidelines and federal regulations.
Job Responsibilities:
Submit accurate insurance claims to commercial and government payers Review and resolve claim edits, rejections, and denials Follow up on unpaid or underpaid claims Prepare and submit appeals when appropriate Verify coding accuracy and identify billing discrepancies Process insurance and patient payments Review accounts receivable and aging reports Communicate with insurance companies regarding claim status Assist patients with billing questions and payment inquiries Maintain accurate billing documentation within the EMR Work closely with providers and clinical staff to resolve documentation issues affecting reimbursement Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Meet departmental productivity and quality standards
Qualifications & Requirements Required:
High school diploma or equivalent (Associate's degree preferred) Minimum 3 years of physician office medical billing experience Experience with Medicare, Medicaid, and commercial insurance billing Knowledge of ICD-10, CPT, HCPCS, and modifier usage Experience with claim submission, payment posting, denials, appeals, and insurance follow-up Strong understanding of the revenue cycle process Excellent organizational, analytical, and problem-solving skills Ability to work independently while managing multiple priorities Strong written and verbal communication skills High attention to detail and accuracy
Preferred:
Experience in Pain Management, Orthopedics, Neurosurgery, or Interventional Procedures Experience using eClinicalWorks (eCW) Familiarity with Availity and Medicare payer portals Experience billing Workers' Compensation and Personal Injury claims Knowledge of CCM, RPM, and telehealth billing CPC, CPB, or other
AAPC/AHIMA
certification
Preferred Skills:
Insurance follow-up and appeals Accounts receivable management Revenue recovery Medicare compliance Medical terminology Time management Critical thinking Customer service Team collaboration Microsoft Office proficiency
Physical Requirements:
Prolonged periods of sitting and computer work Ability to communicate effectively with patients, providers, and insurance representatives Ability to lift up to 15 pounds occasionally
