Remote Lab Billing Specialist – Medical Claims & Coding

Summit Spine and Joint Centers; Atlanta (GA); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Competitive salary

Paid time off (PTO)

Comprehensive health benefits

401(k) with company match

Job summary

Summit Spine and Joint Centers (SSJC) is seeking experienced medical billing professionals to join our expanding team. The role focuses on auditing lab claim information, submitting claims, and scrubbing urinary drug screens to ensure accurate HCFA 1500 submissions.

You will work with billing, management, and compliance to meet month-end deadlines, handle payer inquiries, and maintain documentation. Familiarity with eClinicalWorks and Pain Management billing is a plus, with remote work

Qualifications

• Minimum of 3 years’ experience with medical billing or revenue cycle in a medical setting.

Responsibilities

• Audits and ensure lab claim information is complete and accurate.
• Claims submission and scrubbing of urinary drug screens
• Ensures accurate and timely billing of HCFA 1500 claims.
• Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.).
• Creates logs for providers of pending medical encounters and or encounters with errors.
• Work directly with other billing staff, management, and compliance department to meet end of month closing deadlines.
• Able to work with clearinghouse rejections, print, and mail secondaries.
• Address inquiries from insurance companies, patients, and providers.
• Understands CPT, ICD10, HCPCS coding and modifiers.
• Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc.
• Knowledge of ERAs, EOBs
• Knowledge of payer specific/LCD guidelines
• Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification
• Must be proficient with spreadsheets and word processing applications.

Skills

Medical billing

Claims submission

CPT coding

ICD-10 coding

Modifiers

EOBs

Payer inquiries

Spreadsheet tools

Word processing

eClinicalWorks

Pain management knowledge

Tools

eClinicalWorks

Job description

Summit Spine and Joint Centers (SSJC) is seeking experienced medical billing professionals to join our expanding team. The role focuses on auditing lab claim information, submitting claims, and scrubbing urinary drug screens to ensure accurate HCFA 1500 submissions.

You will work with billing, management, and compliance to meet month-end deadlines, handle payer inquiries, and maintain documentation. Familiarity with eClinicalWorks and Pain Management billing is a plus, with remote work