Job Description

Job Description

Job Description

JobID: 49791

Billing Manager - Outpatient Clinic 

Pay: $65-70K
Location:  Atlanta, GA (Midtown) 

Responsibilities:

• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims

Qualifications and Skills:

• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Minimum of 3 years of experience in medical billing/collections
• Use of computer systems, software, 10 key calculator
• Experience working in EPIC preferred
• Effective communication with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Able to work in a team environment
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
• Knowledge of medical terminology likely to be encountered in medical claims

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