Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Medical Billing Specialist to our team. With twelve ambulatory surgery centers and twenty-three clinic locations across the State of Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state. We are looking for a motivated and hard-working Payment Poster who can join our growing team of professionals.

• Handle insurance deposits, including manual deposits from an office, ERA payments, and ERA online payments.
• Post billing information to payor portals for reimbursement
• Post refund checks to payors or patients monthly
• Post attorney deposits for PI cases
• Investigate and correct any instances of patient auto-pay declinations, interacting directly with patients
• Work outstanding accounts to include following up with insurance carriers for overpayments, underpayments, filing corrected claims, appealing claims, and following up on all denials to ensure processing / reprocessing and timely payments
• Able to work with clearinghouse rejections, print, and mail secondaries.
• Appropriately documents issues, sources, and actions taken on each account
• Identify, document, and report payor denial trends to billing manager for escalated follow-up
• Creates reports regarding the status of patient accounts as requested
• Address inquiries from insurance companies, patients, and providers
• Ensure claim information is complete and accurate
• Work to improve/reduce A/R days
• Follows HIPAA guidelines in handling patient information

• Minimum of 3 years’ experience with medical billing 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
• Bachelor’s degree preferred
• Experience using eClinicalWorks preferred
• Experience with Pain Management preferred