Essential Duties & Responsibilities

• Daily review and correct all electronic billing reports to ensure these claims are filed correctly.
• Provide all appropriate documentation to third party payors.
• Maintain complete and accurate files on all insurance information and contracts.
• Communicate current needs and insurance updates to other office or facility personnel to ensure appropriate reimbursement.
• Be familiar with and follow all billing requirements of local and national payors.
• Help maintain patient confidentiality standards for both medical and financial information.
• Craft appeals and reconsiderations for denied claims
• Effectively work daily task log
• Accept virtual payments
• Follow up on denied/delayed clams and craft proper appeals
• Explain benefits and/or EOBs to patients
• Set up patient payment plans
• Follow up on outstanding claims to reduce days in AR
• Adhere to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

Experience

• Some coding experience preferred.
• Management and organizational skills to support the leadership of this function.
• Detail Oriented, professional attitude, reliable.
• Ability to demonstrate effective customer service techniques.
• Knowledge of insurance industry and basic medical terminology/abbreviations preferred.
• Ability to use office equipment (copier, fax, pc etc.) and automated systems/applications/software at an acceptable level of proficiency including medical billing spreadsheets, email and word processing software.
• Ability to establish and maintain effective working relationships with patients, staff and the public.
• Ability to act independently and know when to refer situations to higher level authority or collaboratively as part of a team.
• Ability to use discretion with confidential data and sensitive information.
• Must possess strong understanding to the local managed care environment, including, but not limited to, managed care policies and procedures, reimbursement mechanisms, and practice management/medical office procedures.
• Perform other duties as assigned

Education and/or Experience: High school Diploma or equivalent. At least 2 years of billing/coding experience in medical billing and collections office. Some orthopedic or surgical experience preferred. ASC and/or Athena experience a plus.

Job Type: Full-time

Pay: $18.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Atlanta, GA 30342: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• Billing / Coding: 2 years (Required)
• Orthopedic Billing: 2 years (Required)
• Athena Health: 1 year (Preferred)

Work Location: One location

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