Medical Biller
Premier Physicians Group
Atlanta, GA
Medical Biller (Inpatient/Medicare) for Physician Network (Remote)
Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy.
This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role plays a critical part in supporting that mission by ensuring the integrity of their revenue cycle operations.
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Full time - Remote
Direct Hire
Key Responsibilities:
• Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services
• Ensure compliance with all federal, state, and payer-specific billing regulations
• Verify patient insurance coverage, eligibility, and benefits
• Review clinical documentation to ensure proper coding and billing accuracy
• Identify and resolve claim edits, denials, and rejections in a timely manner
• Follow up on unpaid or underpaid claims and work to maximize reimbursement
• Collaborate with coding, clinical, and administrative teams to resolve discrepancies
• Maintain up-to-date knowledge of Medicare guidelines and billing requirements
• Post payments, adjustments, and reconcile accounts as needed
• Support audits and provide documentation as required
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Qualifications:
• Required Certification (one of the following):
o Certified Professional Coder (CPC)
o Certified Billing and Coding Specialist (CBCS)
o Certified Coding Specialist (CCS)
o ICD-10 Certification
• Minimum of 2+ years of medical billing experience, with emphasis on:
o Inpatient billing
o Skilled Nursing Facility (SNF) billing
o Medicare claims processing
• Strong understanding of ICD-10, CPT, and HCPCS coding systems
• Knowledge of Medicare regulations, reimbursement methodologies, and compliance requirements
• Experience with electronic medical records (EMR) and billing systems
• High attention to detail and strong analytical/problem-solving skills
• Excellent communication and organizational abilities
Apply to this position by simply clicking the APPLY button below
Key Responsibilities:
• Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services
• Ensure compliance with all federal, state, and payer-specific billing regulations
• Verify patient insurance coverage, eligibility, and benefits
• Review clinical documentation to ensure proper coding and billing accuracy
• Identify and resolve claim edits, denials, and rejections in a timely manner
• Follow up on unpaid or underpaid claims and work to maximize reimbursement
• Collaborate with coding, clinical, and administrative teams to resolve discrepancies
• Maintain up-to-date knowledge of Medicare guidelines and billing requirements
• Post payments, adjustments, and reconcile accounts as needed
• Support audits and provide documentation as required
________________________________________
Qualifications:
• Required Certification (one of the following):
o Certified Professional Coder (CPC)
o Certified Billing and Coding Specialist (CBCS)
o Certified Coding Specialist (CCS)
o ICD-10 Certification
• Minimum of 2+ years of medical billing experience, with emphasis on:
o Inpatient billing
o Skilled Nursing Facility (SNF) billing
o Medicare claims processing
• Strong understanding of ICD-10, CPT, and HCPCS coding systems
• Knowledge of Medicare regulations, reimbursement methodologies, and compliance requirements
• Experience with electronic medical records (EMR) and billing systems
• High attention to detail and strong analytical/problem-solving skills
• Excellent communication and organizational abilities