Job Description

Culture and Values: At Pandya Medical Center, we believe in going above and beyond for every patient. Our team members are dedicated professionals who truly care about making a difference. We listen, understand, and treasure each personal story shared by our patients. Our commitment extends beyond our clinic walls, with active involvement in community health fairs and volunteering initiatives. We are a highly reputed medical practice in North Atlanta, offering strong growth opportunities and robust benefits for our employees. Be a part of our dynamic team and take your career to the next level with Pandya Medical Center! Pandya Medical Center is seeking an experienced Billing Specialist to join our team! Duties and Responsibilities Billing:

• Verifies coverage and eligibility as required and able to use insurance carrier portals for eligibility and claims information
• Post charges and payments to correct accounts
• Reviews patient bills and corrects any missing or inaccurate information in a timely and efficient manner
• Follows up on unpaid claims and clears up discrepancies by telephone, fax or email communication
• Investigate and appeal claims that were denied, following up and completing appeals in a timely manner
• Complete data entry to update spreadsheets and reports

• Knowledge of insurance guidelines including HMO/PPO, Medicare and other payers’ requirements and systems
• Competent use of computer systems, software and EHR’s (Athena Preferred)
• Familiarity with CPT, ICD-10, and HCPCS Coding
• Experience with Family Practice billing (Preferred)
• Exceptional Customer Service skills for interacting with patients regarding medical claims and payments, including communication with patients and family members
• Ability to work well in a team environment
• Ability to triage priorities and handle conflict in a reasonable fashion
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
• Knowledge of medical terminology likely to be encountered on medical claims
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Charge Posting
• Ability to multitask
• Must be a Certified Professional Coder thru AAPC or a Certified Coding Specialist thru AHIMA
• Athena Experience preferred
• Preferred at least 2 years recent medical billing experience

• Aetna Health insurance
• Aetna Dental and Vision plans
• Aflac Supplemental insurance plans
• 401K match plan with up to 4% by Pandya Medical Center
• Paid Time Off

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