Healthcare Billing & Claims Specialist

ADP, Inc.; Albany (GA); On-site; USD 17,000 - 24,000; Full time

Job summary

Albany Area Primary Health Care (AAPHC) is hiring a Billing and Claims Specialist in Albany, GA. The role focuses on accurate patient account management, timely processing of claims, and resolving insurer discrepancies to optimize reimbursement.

Responsibilities include reviewing claims, coordinating with providers and insurers, ensuring regulatory compliance, and maintaining precise billing records. Requires strong communication, organizational skills, and healthcare billing knowledge.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum 3 years in patient account management, billing, or claims in healthcare.
• Strong knowledge of medical billing, insurance claim processes and healthcare rules.
• Proficiency with billing software and EHR systems.

Responsibilities

• Manage and maintain patient account information with accuracy and confidentiality.
• Review and process insurance claims, verify coding, coverage and eligibility.
• Communicate with insurers to resolve denials, rejections, or discrepancies.
• Collaborate with providers and staff to gather documentation for claims.
• Monitor billing operations for regulatory compliance and policy adherence.
• Prepare and submit timely billing statements to patients and insurers.
• Track claim status and follow up on unpaid or underpaid claims.

Skills

Communication skills

Organizational skills

Attention to detail

Customer service focus

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field

Tools

Billing software

Electronic Health Record (EHR) systems

Job description

Albany Area Primary Health Care (AAPHC) is hiring a Billing and Claims Specialist in Albany, GA. The role focuses on accurate patient account management, timely processing of claims, and resolving insurer discrepancies to optimize reimbursement.

Responsibilities include reviewing claims, coordinating with providers and insurers, ensuring regulatory compliance, and maintaining precise billing records. Requires strong communication, organizational skills, and healthcare billing knowledge.