Billing Specialist - Flowers Medical Group

About the role

The Billing Specialist I position does not require remote work.

Responsibilities

• Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies.
• Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status.
• Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines.
• Maintains accurate documentation of all billing actions in the practice management system.
• Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures.
• Affords assistance to patients and insurance representatives with billing-related questions while maintaining professionalism.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required.
• Knowledge of medical billing processes, insurance claim procedures, and payer policies.
• Strong understanding of healthcare revenue cycle operations and reimbursement methodologies.
• Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
• Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action.
• Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally.
• Strong analytical and problem-solving abilities to research and resolve billing issues.
• Attention to detail and ability to manage multiple tasks while meeting deadlines.
• Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality.

Skills

• CPB - Certified Medical Biller issued by AAPC preferred or
• Certified Medical Insurance Specialist (CMIS) issued by PMI preferred

Benefits

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.