Billing & Collections Specialist

Job Description

Job Description

Job Title: Billing, Insurance & Patient Collections Specialist

Location: Cartersville, GA

Position Overview

Our client is seeking a detail-oriented Billing, Insurance & Patient Collections Specialist to join their growing healthcare team. This role is responsible for managing the full cycle of medical billing, insurance verification, claims management, and patient collections to ensure accurate claim submission, timely reimbursement, and effective follow-up on outstanding accounts.

The ideal candidate will have experience working with insurance payers, patient billing, and accounts receivable follow-up in a healthcare environment. Experience with athenahealth (athenaOne) is highly preferred.

Key Responsibilities

• Manage the full medical billing cycle, including charge entry, claim submission, payment posting, and collections.
• Verify patient insurance eligibility and benefits prior to services to ensure accurate billing and coverage.
• Submit electronic claims and monitor claim status to ensure timely processing and reimbursement.
• Review and resolve denied or rejected claims by researching payer guidelines and correcting billing errors.
• Follow up with insurance companies regarding unpaid, delayed, or underpaid claims.
• Communicate with patients regarding insurance coverage, balances, and financial responsibility.
• Manage patient billing and collections, including contacting patients regarding outstanding balances and establishing payment arrangements when appropriate.
• Process and post patient and insurance payments, adjustments, and reconciliations within the practice management system.
• Maintain accurate billing records and documentation in compliance with healthcare regulations and payer requirements.
• Collaborate with providers, front-office staff, and clinical teams to resolve billing discrepancies and insurance issues.
• Generate and review accounts receivable and collections reports to monitor billing performance and aging balances.
• Support practice financial operations by helping reduce outstanding A/R and improve collection rates.

Preferred Qualifications

• 2+ years of medical billing, insurance verification, and patient collections experience, preferably within a specialty healthcare practice.
• Strong knowledge of insurance claims processing, benefits verification, denials management, and payer follow-up.
• Experience using athenahealth / athenaOne billing and practice management software strongly preferred.
• Familiarity with CPT, ICD-10, and HCPCS coding.
• Experience in specialty practice billing is a plus.
• Strong attention to detail, organization, and follow-through.
• Excellent communication and patient service skills.

Key Skills

• Medical Billing & Insurance Processing
• Insurance Verification & Benefits Review
• Patient Billing & Collections
• Accounts Receivable Follow-Up
• Insurance Claims & Denials Management
• Payment Posting & Reconciliation
• athenahealth (athenaOne)
• Patient Financial Communication
• Compliance & Documentation
• Revenue Cycle Support

Work Environment

This position requires the ability to work efficiently in a fast-paced healthcare environment while maintaining a high level of accuracy, professionalism, and customer service when interacting with insurance carriers, patients, providers, and internal staff. The successful candidate will be proactive, organized, and committed to supporting the financial health of the practice through effective billing and collections management.