Senior Insurance Billing Specialist: Complex Claims & Denials

SGMC Health; Valdosta (GA); Hybrid; USD 40,000 - 55,000; 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 and Long-Term Disability

Tuition Reimbursement

Job summary

SGMC Health in Valdosta, Georgia is seeking an Insurance Billing Specialist II to oversee the accurate billing and resolution of professional claims. This position requires in-depth knowledge of billing processes and relevant regulations while providing mentorship to peers.

The ideal candidate will possess a high school diploma, certification, and at least two years of billing experience. A hybrid work model may be available, depending on organizational needs.

Qualifications

• Requires high school diploma or equivalent.
• Certification as a Patient Account Representative is mandatory.
• Two or more years of professional billing experience.

Responsibilities

• Perform accurate and timely billing for professional claims.
• Handle complex claims and simple denials independently.
• Serve as a subject matter expert for assigned payers.

Skills

Professional billing processes

Medicare knowledge

Medicaid knowledge (Georgia and Florida)

Customer service skills

Analytical skills

Education

High school graduate or equivalent

Certified Patient Account Representative

Tools

Epic PB Resolute Billing

Job description

SGMC Health in Valdosta, Georgia is seeking an Insurance Billing Specialist II to oversee the accurate billing and resolution of professional claims. This position requires in-depth knowledge of billing processes and relevant regulations while providing mentorship to peers.

The ideal candidate will possess a high school diploma, certification, and at least two years of billing experience. A hybrid work model may be available, depending on organizational needs.