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Billing Clerk / Specialist
Duluth, GA
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Johns Creek, GA (Hybrid / Flexible Remote available)
Department:
Revenue Cycle Management Reports To:
VP of Revenue Management About Us We are a cutting-edge medical device company specializing in innovative cardiac monitoring solutions (including Holter, Event, and Mobile Cardiac Telemetry monitoring). By empowering healthcare providers with advanced diagnostic technologies, we are setting new standards for patient care across the industry. We are seeking a dedicated, detail-oriented Medical Billing Specialist to join our growing Revenue Cycle Management team in Johns Creek, GA. Job Summary As a Medical Billing Specialist, you will serve as a primary point of contact for patient billing inquiries, provider coordination, and insurance verification. This dynamic role combines active phone/email customer support with technical billing duties, including claims review, EOB analysis, patient payment processing, and pre-authorizations.
Key Responsibilities Customer & Provider Support:
Handle a high volume of inbound and outbound communication (phone and email) with patients, medical providers, and insurance carriers regarding billing inquiries and payments.
Claims & Coding Review:
Review patient claims and medical documentation to accurately identify billable ICD-10 codes.
Insurance Verification:
Verify patient eligibility, resolve Coordination of Benefits (COB) issues, and secure pre-authorizations and medical record requests as needed.
Financial Estimates & Collections:
Calculate patient financial responsibility, deliver clear cost estimates over the phone, and process patient payments efficiently.
Administrative Operations:
Prepare routine reports, update electronic files, and perform additional administrative duties supporting the Revenue Cycle team.
Qualifications & Requirements Required:
1+ years of hands-on experience in medical billing and coding. 1-2 years of experience working with ICD-10 codes and a strong understanding of medical terminology. Background in a high-volume call center or high-call-volume medical office environment. Proven customer service skills with a patient-first approach. High proficiency with Microsoft Office, specifically Microsoft Excel. Excellent written and verbal communication skills.
Key Competencies:
Attention to
Detail:
Meticulous approach to reviewing claims, EOBs, and patient data.
Problem Solving:
Ability to research complex billing issues and present clear solutions.
Adaptability:
Flexibility to manage shifting priorities in a fast-paced healthcare environment.
Self-Starter:
Strong work ethic with the ability to manage workflow with minimal supervision. Physical Requirements & Work Environment Regular sitting, standing, and desk-based work utilizing computers and keyboards. Frequent telephone communication and screen review. Occasional light lifting (up to 25-50 lbs). Benefits Health Insurance Paid Time Off (PTO) & Paid Holidays 401(k) Retirement Plan Life Insurance Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
