Medical Biller

Quest Financial; Atlanta (GA); On-site; USD 33,000 - 37,000; Full time

Job summary

Quest Financial in Atlanta, GA is seeking experienced Medical Billers to join the Revenue Cycle team in a full-time, direct-hire role. You will manage billing and follow-up for a high-volume, multi-physician practice and handle insurance denials, payments, and reconciliations.

The ideal candidate has at least 1 year of medical billing/AR experience, with knowledge of EOBs and payer policies. This role offers a fast-paced environment and DOE. Location is Atlanta, Georgia.

Qualifications

• Minimum 1+ year of hands-on medical billing, insurance follow-up or physician A/R experience.
• Experience within a physician practice, surgery center or similar outpatient setting.
• Strong understanding of the medical billing and reimbursement cycle.
• Experience researching and resolving insurance denials and aged claims.
• Ability to interpret EOBs, payer correspondence and claim status information.
• Experience with EMR/practice management systems is a plus; eClinicalWorks preferred.

Responsibilities

• Manage billing and follow-up for a high-volume, multi-physician practice.
• Submit and follow up on Workers’ Compensation and commercial insurance claims.
• Research unpaid, underpaid, rejected and denied claims to determine root cause and appropriate resolution.
• Work claim-cleanup projects, including current BCBS claim and reimbursement issue.
• Review EOBs and payer responses and take appropriate corrective actions.
• Correct claim errors and resubmit claims when necessary.
• Follow up with insurance carriers on outstanding accounts and reimbursement issue.
• Identify trends in denials and elevate recurring payer or billing issue.
• Work closely with coders, providers and Revenue Cycle leadership to resolve claim discrepancies.
• Review patient accounts and supporting documentation to ensure claims contain the information necessary for payment.
• Maintain detailed account notes documenting follow-up efforts and resolution.
• Meet productivity and quality expectations while managing a high-volume workload.
• Follow claims through resolution rather than simply completing initial followup.

Skills

Medical billing

Insurance follow-up

Accounts receivable

Denials management

EMR systems

EOB interpretation

eClinicalWorks

Tools

eClinicalWorks

Job description

Full-Time | Direct Hire | $24–$27/hour DOE

Our client is experiencing significant growth, expanding from approximately 18 locations to more than 60 offices across 18 states, and we are seeking experienced, energetic Medical Billers to join the Revenue Cycle team.

This is an excellent opportunity for someone who enjoys working in a fast-paced physician practice environment, knows how to dig into difficult claims and denials, and takes ownership of getting accounts resolved rather than simply working a queue.

Key Responsibilities

• Manage billing and follow-up for a high-volume, multi-physician practice
• Submit and follow up on Workers’ Compensation and commercial insurance claims
• Research unpaid, underpaid, rejected and denied claims to determine root cause and appropriate resolution
• Work claim-cleanup projects, including current BCBS claim and reimbursement issue
• Review EOBs and payer responses and take appropriate corrective actions
• Correct claim errors and resubmit claims when necessary
• Follow up with insurance carriers on outstanding accounts and reimbursement issue
• Identify trends in denials and elevate recurring payer or billing issue
• Work closely with coders, providers and Revenue Cycle leadership to resolve claim discrepances
• Review patient accounts and supporting documentation to ensure claims contain the information necessary for payment
• Maintain detailed account notes documenting follow-up efforts and resolution
• Meet productivity and quality expectations while managing a high-volume workload
• Follow claims through resolution rather than simply completing initial followup

Qualifications

• Minimum 1+ year of hands-on medical billing, insurance follow-up or physician A/r experience
• Experience within a physician practice, surgery center or similar outpatient setting
• Strong understanding of the medical billing and reimbursement cycle
• Experience researching and resolving insurance denials and aged claims
• Ability to interpret EOBs, payer correspondence and claim status information
• Experience with eClinicalWorks is a plus; candidates with experience using other EMR/practice management systems

Preferred Experience

• Ambulatory Surgery Centers
• (ASC)Interventional spine or pain managemnt
• Orthopedic or spine physician practice
• Heavy in-office imaging
• Workers’ Compensation billing and collections
• Commercial insurance billing
• Complex denial management and A/R clean

Schedule

• Candidates interested in a 9:00 AM–6:00 PM schedule may also be considered to help support West Coast