Billing Specialist

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Full-Time Blue Ridge, Blue Ridge, GA, US 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 discrepancies2+ 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 Competitive hourly rate or salary, depending on experience Benefits Certification renewal reimbursement Competitive hourly rate or salary, depending on experience 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. working hours: M-Th 8a-5p Fridays 8a-12p #J-18808-Ljbffr Evolving Solution Services