Summit Spine and Joint Centers is a rapidly growing, multi-state interventional pain management group practice providing integrated clinical, surgical, and imaging services.
The organization supports clinic locations across Georgia, North Carolina, South Carolina, and Tennessee, and this role supports billing operations for a growing network of practices.
This position is remote, with the ideal candidate located in Georgia and able to be present at an administrative office in North Carolina, South Carolina, or near Austin, Texas where other billing team members are located.
Requirements & Qualifications
Job duties
- Audit claim information to ensure it is complete and accurate.
- Submit claims for office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
- Ensure accurate and timely billing of HCFA 1500 claims.
- Maintain documentation for files, including date stamping, logging, and signatures.
- Create logs for providers showing pending encounters and encounters with errors.
- Work with billing staff and management to meet month-end closing deadlines.
- Handle clearinghouse rejections and print/mail secondary claims.
- Respond to inquiries from insurance companies, patients, and providers.
- Understand CPT, ICD-10, HCPCS coding, and modifiers.
- Work with third-party payers including HMOs, PPOs, Medicare, Medicaid, and Workers' Compensation.
- Understand ERAs, EOBs, payer-specific/LCD guidelines, and benefits such as deductibles, copays, coinsurance, and eligibility verification.
- Use spreadsheets and word processing applications proficiently.
Qualifications
- Minimum of 3 years of experience in medical billing or revenue cycle in a medical setting.
- Experience with Medicare, Medicaid, commercial insurance, workers' compensation, and personal injury cases.
- Knowledge of claims submission for office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
- Knowledge of medical billing rules, coordination of benefits, modifiers, EOBs, and ANSI code denials.
- Strong knowledge of CPT coding, ICD-10 coding, and medical pre-certification protocols.
- Excellent computer skills and familiarity with Microsoft Office.
- Ability to work in a fast-paced, team-oriented environment and adapt to change.
- Bachelor’s degree preferred.
- Experience with eClinicalWorks preferred.
- Experience with high-level procedure billing and coding for pain management preferred.
Benefits & Perks
Benefits
- Competitive salary
- PTO
- Health benefits
- 401(k) match
Location
Georgia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 months ago