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appeals specialist - hospital billing, underpayments Jobs in Atlanta

billing administrator

billing and collections specialist Jobs in Atlanta

billing and collections specialist

billing specialist

Renova One

<div>
 <p>
  <strong>
   Company Overview:
  </strong>
 </p>
 <p>
  Renova One unites 11 trusted companies under one brand, delivering seamless renovation and restoration solutions for multi-family, single-family, and commercial properties nationwide. With expertise in flooring, carpet cleaning, turnkey solutions, interior and exterior renovations, restoration, and design, we simplify projects while maintaining exceptional quality. Built on integrity, innovation, and strong partnerships, Renova One is more than a vendor&mdash;we&rsquo;re a trusted partner committed to enriching spaces and creating lasting value.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Position Summary:
  </strong>
 </p>
 <p>
  As a Billing Specialist at Renova One, you will be responsible for accurate and timely customer billing, cash application, and supporting core accounting processes. The ideal candidate is organized, dependable, and interested in growing their accounting skill set - including learning Accounts Payable over time. This position plays a key role in ensuring strong cash flow, clean customer accounts, and smooth coordination between operations, sales, and accounting.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Responsibilities &amp; Duties:
  </strong>
 </p>
 <ul>
  <li>
   Prepare and process customer invoices accurately and on time
  </li>
  <li>
   Review billing data for completeness, accuracy, and proper approvals
  </li>
  <li>
   Resolve billing discrepancies and respond to internal and customer inquiries
  </li>
  <li>
   Ensure billing aligns with contracts, pricing, and project/job details
  </li>
  <li>
   Apply customer payments (ACH, check, wire, credit card) to the correct accounts
  </li>
  <li>
   Reconcile customer accounts and research payment variances or short pays
  </li>
  <li>
   Assist with AR aging reviews and follow up on open or unapplied items
  </li>
  <li>
   Support month-end close activities related to billing and cash receipts
  </li>
  <li>
   Learn and assist with AP processing, including invoice entry and coding
  </li>
  <li>
   Support vendor reconciliations and help resolve invoice discrepancies
  </li>
  <li>
   Assist with AP workflows as part of cross-training and development
  </li>
  <li>
   Maintain accurate records and documentation
  </li>
  <li>
   Support audits, reporting, and internal controls as needed
  </li>
  <li>
   Collaborate with accounting and operations teams to improve processes
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Qualifications:
  </strong>
 </p>
 <ul>
  <li>
   At least 3 years of experience in billing, AP/AR, or accounting support
  </li>
  <li>
   Experience with cash application or payment posting preferred
  </li>
  <li>
   Basic understanding of accounting principles
  </li>
  <li>
   Experience with accounting or ERP systems (e.g., Sage Intacct, NetSuite, QuickBooks, or similar) a plus
  </li>
  <li>
   Strong attention to detail and ability to manage multiple priorities
  </li>
  <li>
   Clear communicator with strong follow-up skills
  </li>
  <li>
   Comfortable working in a fast-paced, deadline-driven environment
  </li>
 </ul>
</div>


Billing Specialist

Aspirion

<div>Description:
<p>
For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers&rsquo; compensation, Veterans Affairs, and out-of-state Medicaid.</p><p>
At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, &ldquo;Our teammates are the foundation of our success.&rdquo; United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.</p><p>
We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.</p><p>
We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems.</p><p><b>
Key Responsibilities</b></p><ul><li>
Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised</li><li>
Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)</li><li>
Draft appeals to insurance carriers on denied or underpaid claims</li><li>
Review claim detail including coding, billing and insurance information for discrepancies</li><li>
Run claims data through various pricing software</li></ul>
Requirements:
<ul><li>Strong healthcare industry knowledge</li><li>
Ability to troubleshoot and remedy claim submission errors</li><li>
Demonstrated attention to detail</li><li>
Excellent written and verbal communication skills</li><li>
Team-Oriented and Flexible</li><li>
Creative Problem-solving skills</li></ul><p><b>
Education and Experience</b></p><ul><li>
High School Diploma or GED required; bachelor's degree preferred</li><li>
Hospital billing experience required</li><li>
Previous work from home experience</li></ul><p><b>
Benefits</b></p><p>
At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.</p><p>
The US base pay range for this position <b><i>starts</i></b> at $19.00 hourly.<i> Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered.</i> In addition to base salary, a competitive benefits package is offered.</p><p><b>
AAP/EEO Statement</b></p><p>
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.</p><p>
Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.</p></div>

Appeals Specialist - Hospital Billing, Underpayments

GI Care for Kids

<div><div><b>SUMMARY</b></div>
<div>The Billing and Collections Specialist must be customer service oriented, detailed in performing their job functions in accounts receivables with insurance companies and self-pays, and possess the ability to manage multiple tasks daily.</div>
<div><b>ESSENTIAL DUTIES</b></div>
<ul><li> Follow up on all accounts within the timely filing guidelines of the insurance company assigned to the biller.</li></ul>
<ul><li> Correcting claim issues, and/or rebilling claims to third party payers. Claims must be corrected and rebilled within the timely refiling guidelines of the insurance company assigned.</li></ul>
<ul><li> Write appeal letters.</li></ul>
<ul><li> Communicating with all departments, i.e., front desk staff, nursing and providers to ensure appropriate collection of co-pays and self-pay balances prior to patient visits.</li></ul>
<ul><li> Contact patients after obtaining auth to discuss collection of out-of-pocket expenses prior to patient visits.</li></ul>
<ul><li> Documenting the appointment desk, calling guarantors and communicating balances that need to be collected.
</li></ul><ul><li> Handles inquiries and answers questions for clerical staff, clinical staff, and insurance companies within a 24-hour turnaround time</li></ul>
<ul><li> Daily monitoring of assigned insurance A/R&rsquo;s, statuses on delinquent self-pay accounts, and all assigned WQ&rsquo;s.</li></ul>
<ul><li> Meets deadlines of completing all assigned WQ&rsquo;s prior to the end of the month.</li></ul>
<ul><li> Identifies and resolves patient billing questions in the office and incoming calls to the business office.</li></ul>
<ul><li> Daily collection and/or posting payments from insurance companies and patients as assigned daily.</li></ul>
<ul><li> Reviews accounts and makes recommendations regarding non collectible accounts when working delinquent and collection accounts.</li></ul>
<ul><li> Notifies manager of non-collectible self pays and insurance balances.</li></ul>
<ul><li> Verifies patient eligibility through various third-party sources.
</li></ul><ul><li> Understands patient benefits from various all insurance carriers and determines out of pocket and in and out of network status prior to visits in the office.</li></ul>
<ul><li> Documents payments collected, A/R, and phone call resolutions in software system.</li></ul>
<ul><li> Understands fee schedules and updates manager of fee schedule changes and effective dates timely</li></ul>
<ul><li> Monitors changes in policy and fee schedules for all insurance carriers assigned and informs manager.</li></ul>
<ul><li> Answers business office phone calls daily and on a rotating weekly schedule.</li></ul>
<ul><li> Explain out of pocket expenses to guarantor</li></ul>
<ul><li> Assist in the enrollment and explain drug rebate programs such as Care Path and Entyvio Connect and Pfizer</li></ul>
<ul><li> Assist patients in completion of paperwork, explain and follow up patient assistance programs when needed.</li></ul>
<ul><li> Communicate effectively with professional staff and patients.</li></ul>
<ul><li> Daily monitoring of personal business office phone line, business office phone calls and emails.</li></ul>
<ul><li> Ensures voicemails are returned within a 24-hour time period.</li></ul>
<ul><li> Responds to all emails and staff messages from manager, staff and patients in a 24-hour time period</li></ul>
<ul><li> Daily collection of business office mail, and routing to appropriate billers.</li></ul>
<ul><li> Filing of manually posted payments</li></ul>
<ul><li> Cross trained to fill in for other job functions on an as needed basis.</li></ul>
<ul><li> Additional duties as assigned by management.</li></ul>
<div></div><div><b>EDUCATION &ndash; EXPERIENCE- KSA&rsquo;s &ndash; OTHER QUALIFICATIONS</b></div>
<ul><li> Associate&rsquo;s degree, or equivalent, 3 to 5 years related experience, or Medical Billing Certification.</li></ul>
<ul><li> Experience working with medical payers including Medicaid, CMO&rsquo;s and Commercial insurance.</li></ul>
<ul><li> Working knowledge of medical billing systems, particularly Epic.</li></ul>
<ul><li> Working knowledge of CPT and ICD-10 coding systems.</li></ul>
<ul><li> Ability to research and problem solve A/R disputes</li></ul>
<ul><li> Customer service oriented</li></ul>
<ul><li> A productive, dependable, self-starter</li></ul>
<ul><li> Excellent organizational skills</li></ul>
<ul><li> Proficiency in Microsoft Office Suite</li></ul>
<ul><li> Excellent verbal and written skills</li></ul>
<ul><li> Knowledge of medical billing / collection practices required</li></ul>
<ul><li> Strong keyboard skills.</li></ul>
<ul><li> Works well in environment with firm deadlines; results oriented.</li></ul>
<ul><li> Perform multiple tasks effectively.</li></ul>
<ul><li> Able to work both independently and as part of a team.</li></ul>
<ul><li> Strong analytical skills required.</li></ul>
<ul><li> Capable of making timely, independent decisions</li></ul>
<div></div><div><b>COMPETENCIES</b></div>
<div></div><div>Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.</div>
<div>Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.</div>
<div>Interpersonal Skills - focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.</div>
<div>Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.</div>
<div>Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.</div>
<div></div><div><b>PHYSICAL DEMANDS AND WORK ENVIRONMENT</b></div>
<div></div><ul><li> Frequent sitting, grasping, and speaking</li></ul>
<ul><li> Occasional reaching, bending and stooping</li></ul>
<ul><li> Frequent use of computer, keyboard, copy/fax machine, and phone</li></ul>
<ul><li> Possible exposure to infectious specimens (blood or bodily fluids or airborne pathogens).</li></ul>
<ul><li> May be required to wear Personal Protective Equipment (PPE).
</li></ul><ul><li> While performing the duties of this job, the noise level in the work environment is usually quiet to</li></ul>
 <div>moderate.</div>
<ul><li> Fast paced environment with occasional high pressure or emergent situations.</li></ul>
<ul><li> Work hours subject to office needs to ensure coverage during all hours of operation.</li></ul></div>

Billing and Collections Specialist

Netlink Voice

<p><b>Billing Administrator </b>&ndash; Atlanta, GA</p><p><b>About the Role</b></p><p>Netlink Voice is looking for a detail-oriented <b>Billing Administrator</b> to join our team. You will be the backbone of our revenue cycle, ensuring that our clients are billed accurately and on time for our telecommunications services.</p><p><b>Responsibilities</b></p><ul><li>Generate and distribute monthly recurring invoices for VoIP, data, cabling and networking and managed services.</li><li>Audit billing records against contracts to ensure all services are captured and priced correctly.</li><li>Monitor accounts receivable, follow up on overdue payments, and resolve billing disputes with a professional, customer-first attitude.</li><li>Update client records, including plan changes, credits, and contact information, within our billing platform.</li><li>Assist management with monthly revenue reports and usage analysis.</li><li>Identify bottlenecks in the billing cycle and suggest ways to streamline our &quot;quote-to-cash&quot; process.</li></ul><p><b>Candidate</b></p><ul><li>You have a knack for numbers and a high degree of accuracy.</li><li>Proficiency in Microsoft Excel and experience with billing software or ERP systems.</li><li>You can explain complex billing issues to clients in a way that is clear, empathetic, and firm.</li><li>You must be a proactive communicator</li></ul><p><b>Qualifications</b></p><ul><li>2+ years in billing, accounts receivable, or a similar financial administrative role.</li><li>Experience in Telecommunications or SaaS billing is a major plus</li><li>A proven track record of meeting strict monthly deadlines.</li></ul><p>Job Type: Full-time</p><p>Pay: From $40,000.00 per year</p><p>Work Location: Hybrid remote in Atlanta, GA 30332</p>

Billing Administrator

Emory Healthcare

<div>
 <strong>
  Overview
  <br/>
  <br/>
 </strong>
 <strong>
  Be inspired. Be rewarded. Belong. At Emory Healthcare.
  <br/>
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 </strong>
 <strong>
  Benefits
  <br/>
  <br/>
 </strong>
 At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
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   Comprehensive health benefits that start day one!
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   Student Loan Repayment Assistance &amp; Reimbursement Programs
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   Family-focused benefits
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   Wellness incentives
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   Ongoing mentorship, development, leadership programs&hellip;. and more!
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 We're seeking a
 <strong>
  Clinical Documentation Specialist (Registered Nurse / RN)
 </strong>
 who provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant documentation for billing of services rendered.
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  Minimum Qualifications
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 </strong>
 <ul>
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   Graduate of an accredited school of Nursing, or United States or International School of Medicine Education.
  </li>
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   For RNs, candidates must have an active license.
  </li>
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   All nurses employed in roles requiring an unencumbered nursing license must have a valid, active license or temporary permit approved by the Georgia Licensing Board.
  </li>
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   Education and experience may be considered in lieu of a RN license for highly qualified candidates (physician).
  </li>
  <li>
   Three years' experience in healthcare related field with strong clinical expertise and acumen.
  </li>
  <li>
   Prefer recent clinical experience in an acute care setting, (Critical Care, Medical/Surgical or Emergency department nursing preferred; or 2 years' experience in a specialty area).
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  JOIN OUR TEAM TODAY!
 </strong>
 Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet&reg; designated ambulatory practice. We are made up of 11 hospitals-4 Magnet&reg; designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
 <br/>
 <br/>
 <strong>
  Additional Details
  <br/>
  <br/>
 </strong>
 Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
 <br/>
 <br/>
 Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare&rsquo;s Human Resources at careers@emoryhealthcare.org . Please note that one week's advance notice is preferred.
</div>


Clinical Documentation Specialist

Concentra

<div>Overview:
<div>
Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward &ndash; always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.</div><div><br>
</div><div>Performs accounts receivable duties to ensure timely and accurate collection of payments, daily reconciliation of cash and accurate reporting of receivables in accordance with Concentra policies, practices and procedures.
</div>Responsibilities:
<ul><li>Resolves escalated problems via communications with various customers including employers, insurance companies, TPAs and labs
</li><li>Processes rebills and composes correspondence to customers
</li><li>Monitors and reviews account aging reports to ensure timely collection
</li><li>Reviews documents and reconciles discrepancies and makes needed adjustments
</li><li>Performs account payment reconciliations with incoming receipts
</li><li>Prepares and distributes periodic reports on A/R and past due accounts for management and clients
</li><li>Negotiates with clients&rsquo; repayment terms on past due accounts
</li><li>Makes decisions on referring accounts for collection or writing off
</li><li>Trains new employees and assist peers
</li><li>Other duties as assigned. Duties, responsibilities and activities may change at any time with or without notice
</li><li>A/R Aging Report
<ul><li>Determines when adjustments are appropriate and necessary and applies
</li><li>Resolves Employer Issues when necessary, such as misapplied or missing payments
</li></ul></li><li>Documentation
<ul><li>Interacts with clinics when necessary to resolve invoice charges or issues and secures supporting<br>
documentation</li></ul></li><li>
Rebills<ul><li>
Monitors rebills for open balances and takes appropriate action</li><li>
Schedules and distributes work to meet deadlines and facilitate efficient workflows.
</li></ul></li><li>This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.</li></ul>
Qualifications:
<h2 class="jobSectionHeader"><b>Education/credentials</b></h2><ul><li>
High school diploma or GED equivalent</li></ul><h2 class="jobSectionHeader"><b>
Job-related experience</b></h2><ul><li>
Customarily has at least three or more years of demonstrated collection experience (occupational<br>
health, preferred)</li></ul><h2 class="jobSectionHeader"><b>
Job-related skills/competencies</b></h2><ul><li>
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility</li><li>
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions</li><li>
Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism</li><li>
The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies</li><li>
Familiarity with Microsoft Excel, Outlook, Word experience required</li><li>
Ability to communicate effectively and professionally</li><li>
Excellent time management skills</li><li>
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions</li><li>
Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism</li><li>
Excellent writing and documentation skills</li><li>
Ability to work independently</li><li>
Ability to handle multiple tasks, projects, duties, and priorities, when assigned</li></ul>
Additional Data:
<ul><li>401(k) Retirement Plan with Employer Match</li><li>
Medical, Vision, Prescription, Telehealth, &amp; Dental Plans</li><li>
Life &amp; Disability Insurance</li><li>
Paid Time Off &amp; Extended Illness Days Offered</li><li>
Colleague Referral Bonus Program</li><li>
Tuition Reimbursement</li><li>
Commuter Benefits</li><li>
Dependent Care Spending Account</li><li>
Employee Discounts</li></ul><div>
Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.</div></div>

AR Representative

Omni Hotels

<div><div>To supervise, monitor and review on all site accounting activities including account reconciliation, accounts payable, accounts receivable, research, Accounts Receivable billing, credit and collection, and the monitoring of operations systems and procedures and control features.</div><br>
<ul><li>
Responsible for complete training of staff for job duties of the following positions: Accounts Receivable Clerk; Accounts Receivable Billing Clerk; Accounts Payable Clerk, General Cashier, Income Audit and Paymaster.</li><li>
Coordinate all on site accounting functions with the Director of Finance. Act as liaison for all corporate accounting requests.</li><li>
Ensure a smooth Accounts Payable process.</li><li>
Assist in attaining financial goals.</li><li>
Partner with Credit Manager to ensure the timely billing of all direct bill accounts with complete backup and accurate invoices.</li><li>
Ensure maintenance of all daily filing of documents needed for research requests from guest and in-house users.</li><li>
Ensure all guest disputes and requests for clarification is resolved and/or responded to in a timely manner.</li><li>
Ensure an effective tracking system for all rebates/adjustments.</li><li>
Work closely with all departments to come up with solutions to Systems &amp; Controls problems.</li><li>
Ensure daily balance of Income Audit to Daily Report.</li><li>
Complete all general ledger and bank reconciliation.</li><li>
Ensure a timely month-end close.</li><li>
Produce accurate financial statements.</li><li>
Prepare inter-company reconciliation and solve disputes.</li><li>
Ensure that daily cash management functions - dial up bank, check balances, reconcile accounts, fax transfers or funding requests are prepared properly.</li><li>
Prepare Balance Sheet analysis.</li></ul><br>
<ul><li>
Must have 4-5 years of accounting management experience preferably in the hospitality industry.</li><li>
Previous experience as an Assistant Director of Finance in a hotel highly preferred.</li><li>
Must be flexible and able to work some weekends and holidays</li><li>
College degree highly preferred but not required, preferrable in Accounting or Finance</li></ul><div></div><div><br>
Omni Hotels &amp; Resorts is an equal opportunity/AA/Disability/Veteran employer. The EEO is the Law poster and its supplement are available using the following links: EEOC is the Law Poster and the following link is the OFCCP's Pay Transparency Nondiscrimination policy statement<br>
<br>
If you are interested in applying for employment with Omni Hotels &amp; Resorts and need special assistance to apply for a posted position, please send an email to applicationassistance@omnihotels.com.</div></div>

Assistant Director of Finance

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