Healthcare Billing & Claims Specialist I

Wellstar Health System, Inc.; Georgia; Hybrid; USD 52,000 - 68,000; Full time

Job summary

Wellstar Health System, Inc. in Georgia is seeking a Billing and Claims Specialist I to manage claim processes, submit clean claims, and follow up with payers using Epic EMR and external scrubbers.

You will work to maximize revenue, minimize denials, and ensure billing accuracy. This role requires at least 1 year of medical billing experience, familiarity with Medicare/Medicaid, CPT/ICD-10 coding, and strong communication with providers and patients.

Qualifications

• 1 year medical billing experience
• Experience with Medicare/Medicaid billing
• Knowledge of CPT and ICD-10 coding systems

Responsibilities

• Prepare and submit clean claims to third party payers electronically or by paper
• Analyze and resolve claim submission edits and payer rejections
• Follow up on denials and ensure timely reimbursement
• Maintain documentation in patient accounting system and ensure HIPAA compliance
• Review and resolve external edits from clearing houses and system queues

Skills

Medical billing

CPT/ICD-10 coding

Patient communication

Time management

Problem solving

Teamwork

Education

High School Diploma / GED

Tools

Epic EMR

Clearinghouse (Change Healthcare)

Job description

Wellstar Health System, Inc. in Georgia is seeking a Billing and Claims Specialist I to manage claim processes, submit clean claims, and follow up with payers using Epic EMR and external scrubbers.

You will work to maximize revenue, minimize denials, and ensure billing accuracy. This role requires at least 1 year of medical billing experience, familiarity with Medicare/Medicaid, CPT/ICD-10 coding, and strong communication with providers and patients.