Billing Specialist

Job Description

Job Description

Medical Biller

Georgia Mountains Health (GMH) is a community health, primary care facility focused on delivering high-quality, accessible healthcare services. We have multiple primary care clinics across the North Georgia area and currently seeking a Medical Biller to join our revenue cycle team on-site at our administrative office in Blue Ridge, GA. This individual will play a key role in ensuring accurate and timely billing, claims submission, and reimbursement for the clinic’s services.

Position Summary:
The Medical Biller is responsible for preparing and submitting insurance claims, following up on unpaid accounts, and working closely with providers, coders, and insurance companies to resolve billing issues. The ideal candidate is detail-oriented, organized, and knowledgeable about billing procedures and payer guidelines in an outpatient setting.

Full-time 40 hours / Monday-Thursday 8a-5p Fridays 8a-12p / On-site in Blue Ridge, GA Administrative office

Key Responsibilities:

• Reviews, prepares and submits accurate insurance claims to various insurance companies for outpatient services.
• Follow up on unpaid or denied claims, initiate appeals when appropriate
• Verify patient insurance coverage and benefits as needed
• Communicate with patients regarding billing questions and outstanding balances
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims
• Collaborate with coding staff to ensure proper documentation and coding
• Regularly check email, mail, voice mail and other forms of communication.
• Maintain compliance with HIPAA, payer policies, and regulatory standards
• Other duties as assigned.

Qualifications:

• High school diploma or equivalent required; Associate’s degree preferred
• Certification in Medical Billing (e.g., CMRS, CPB) is a plus
• Experience with denial management and appeals
• Ability to interpret EOBs and resolve billing discrepancies
• 2+ years of medical billing experience, preferably in an outpatient clinic or physician office
• Knowledge of CPT, ICD-10, and HCPCS codes
• Familiarity with Athena and billing software
• Strong understanding of insurance carriers (Medicare, Medicaid, commercial plans)
• Excellent attention to detail and follow-up skills

Benefits:

• Competitive hourly rate or salary, depending on experience
• Certification renewal reimbursement

• 3.5 weeks PTO/ 1-week sick pay
• 8 paid holidays
• Company paid LTD and group life
• Retirement plan with match
• Medical, dental, vision, critical illness, accidental and life insurance benefits available
• Discounts on in-house medical and dental services

Learn about Georgia Mountains Health by:

• Visit our website:
• Visit our Facebook page:
• EOE, Drug Free Workplace, eVerify participant.