Patient Accounts Rep., Medical Billing Payment Poster

Surgical Center Solutions, LLC

Lawrenceville (GA)

Remote

USD 48,000 - 68,000

Full time

2 days ago
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Benefits offered by this job

Paid time off
Health benefits
401(k) with company match

Job summary

Summit Spine and Joint Centers (SSJC) is seeking an experienced Medical Billing Specialist to manage patient accounts, process payments, and resolve billing disputes. The role supports multiple states with remote work flexibility and occasional in-person meetings at our Lawrenceville, GA office.

Ideal candidates have 3+ years in medical billing, CPT/ICD-10 proficiency, and familiarity with eClinicalWorks and insurance rules.

Qualifications

  • Minimum of 3 years’ experience with payment posting or revenue cycle in a medical setting.
  • Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases.
  • Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
  • Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.
  • Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required

Responsibilities

  • Respond to incoming patient calls regarding account balances, statements, insurance coverage, and payment options
  • Conduct outbound calls to patients regarding outstanding balances, payment arrangements, and account follow-up
  • Address and resolve patient billing disputes and concerns, escalating complex issues as needed
  • Refunds/Credit Balances/Bad Debt
  • Review patient refund requests in accordance with organizational policy
  • Prepare and maintain credit balance reports
  • Review accounts for bad debt eligibility and process adjustments in accordance with policy
  • Monitor and triage the fax queue, routing documents to appropriate accounts or staff
  • Monitor the billing department email inbox, responding to or routing inquiries in a timely manner
  • Prioritize and process incoming correspondence to ensure timely account updates and follow-up
  • Post patient payments, adjustments, and refunds accurately to patient accounts
  • Document all patient account interactions clearly in the billing system
  • Maintain compliance with HIPAA and organizational confidentiality standards

Skills

Payment posting
Revenue cycle management
Medical billing
Microsoft Office

Tools

eClinicalWorks

Job description

  • Employee Type FT Non-Exempt
  • Required Degree NONE
Description
Company Overview:

Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management practice providing comprehensive clinical, surgical, and imaging services. With locations across Georgia, North Carolina, South Carolina, Tennessee, Florida, and Texas, our team is committed to delivering exceptional, patient-centered care through collaboration, innovation, and clinical excellence.

As one of the largest single-specialty pain management practices in the nation, SSJC continues to expand its network while investing in the people who make our success possible. We are seeking motivated, qualified professionals who are passionate about making a meaningful impact and contributing to our continued growth.

Job Duties:

Respond to incoming patient calls regarding account balances, statements, insurance coverage, and payment options

Conduct outbound calls to patients regarding outstanding balances, payment arrangements, and account follow-up

Address and resolve patient billing disputes and concerns, escalating complex issues as needed

Refunds/Credit Balances/Bad Debt

Review patient refund requests in accordance with organizational policy

Prepare and maintain credit balance reports

Review accounts for bad debt eligibility and process adjustments in accordance with policy

Monitor and triage the fax queue, routing documents to appropriate accounts or staff

Monitor the billing department email inbox, responding to or routing inquiries in a timely manner

Prioritize and process incoming correspondence to ensure timely account updates and follow-up

General Account Maintenance

Post patient payments, adjustments, and refunds accurately to patient accounts

Document all patient account interactions clearly in the billing system

Maintain compliance with HIPAA and organizational confidentiality standards

Qualifications:

Minimum of 3 years’ experience with payment posting or revenue cycle in a medical setting

Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases

Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management

Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.

Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required

Excellent computer skills and familiarity with Microsoft Office

Comfortable working in a growing, dynamic organization and able to navigate change.

Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment

Experience using eClinicalWorks preferred

Experience with Pain Management preferred

Preferred Location

While this is a remote position, preference will be given to candidates residing in one of the following states:

Georgia

Texas

North Carolina

South Carolina

Florida

Candidates located in Georgia should be able to attend meetings or training at our Lawrenceville administrative office as needed.

This is a full-time position offering a competitive salary, paid time off (PTO), comprehensive health benefits, and a 401(k) with company match.

The employee must communicate professionally, respectfully, and effectively with patients, visitors, clinicians, coworkers, and vendors, including in busy, demanding, or stressful circumstances. The employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers’ work; and use established de-escalation and escalation procedures when appropriate. The employee must exercise sound judgment; maintain appropriate workplace boundaries; receive and respond to routine feedback and direction; protect confidential patient and business information; and address patient or workplace concerns through established supervisory and safety procedures. These functions are essential to the position.

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