Job DescriptionJob 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-Friday 8a-5p / 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 appropriateVerify patient insurance coverage and benefits as neededCommunicate with patients regarding billing questions and outstanding balancesPerforms various collection actions including contacting patients by phone, correcting and resubmitting claimsCollaborate with coding staff to ensure proper documentation and codingRegularly check email, mail, voice mail and other forms of communication.Maintain compliance with HIPAA, payer policies, and regulatory standardsOther duties as assigned.
Qualifications:
High school diploma or equivalent required; Associate’s degree preferredCertification in Medical Billing (e.g., CMRS, CPB) is a plusExperience with denial management and appealsAbility to interpret EOBs and resolve billing discrepancies2+ years of medical billing experience, preferably in an outpatient clinic or physician officeKnowledge of CPT, ICD-10, and HCPCS codesFamiliarity 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 experienceCertification renewal reimbursement3.5 weeks PTO/ 1-week sick pay8 paid holidaysCompany paid LTD and group lifeRetirement plan with match Medical, dental, vision, critical illness, accidental and life insurance benefits availableDiscounts on in-house medical and dental services
Learn about Georgia Mountains Health by:
Visit our website: www.gamtnhealth.orgVisit our Facebook page: https://www.facebook.com/GeorgiaMountainsHealth/EOE, Drug Free Workplace, eVerify participant.
M-F 8a-5p
8 hours per day excluding lunch
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