Hospital Billing Specialist: Claims & Denials Expert

Sgmc-Health-1; Valdosta (GA); On-site; USD 36,000 - 56,000; Full time

Benefits offered by this job

Low Healthcare Insurance Premiums

401(k) with employer match

Paid Time Off (PTO)

Employee discounts

Company paid life insurance

Short-Term Disability

Tuition Reimbursement

On-the-job training

Job summary

SGMC Health is seeking a Patient Financial Services billing specialist to process incoming requests, verify insurance coverage, and bill claims in a timely manner. The role involves following up on unpaid balances, appealing denials, and communicating with patients, providers, and insurers with accuracy and professionalism.

Experience with hospital billing and CPT-4/HCPCS/ICD-10 coding is preferred, along with familiarity with Epic HB Resolute and HIPAA guidelines.

Qualifications

• Prior hospital billing experience recommended.
• Familiar with HIPAA and patient privacy.
• Experience with Epic HB Resolute Billing is a plus.
• Knowledge of CPT-4, HCPCS and ICD-10 codes.

Responsibilities

• Process billing requests from multiple departments to ensure timely reimbursement.
• Verify insurance coverage and benefits for patients.
• Follow up on unpaid balances and appeal denials.
• Maintain production logs and update claim status in the system.
• Communicate with patients, providers, and insurers professionally.

Skills

Hospital billing

Billing system

Medical insurance

CPT-4/HCPCS/ICD-10

HIPAA compliance

Customer service

Communication

Epic HB Resolute

Tools

Medicare/Medicaid portals

Job description

SGMC Health is seeking a Patient Financial Services billing specialist to process incoming requests, verify insurance coverage, and bill claims in a timely manner. The role involves following up on unpaid balances, appealing denials, and communicating with patients, providers, and insurers with accuracy and professionalism.

Experience with hospital billing and CPT-4/HCPCS/ICD-10 coding is preferred, along with familiarity with Epic HB Resolute and HIPAA guidelines.