Billing Specialist

Georgia Spine & Orthopaedics is a Comprehensive Spine and Orthopedics Care provider in GA. Our locations include Atlanta, Columbus, Gwinnett, Marietta, Tucker, Stockbridge, Roswell, and the Surgery Center of Roswell. We specialize in offering cutting-edge treatment with a conservative approach.

We are a team of friendly, ambitious professionals coming to work to provide exceptional care to our patients while having a great time working together.

The role of the Billing Specialist for Workers' Compensation is designed to ensure the optimization of revenue recognition throughout the organization. Under the direction and supervision of the Billing Manager, the Billing Specialist will work with the Workers' Compensation Coordinator, Intake/Front Office, and Care Coordinators to review data required by Workers' Compensation to ensure data completeness and accuracy. The billing specialist will alert the Billing Manager to any trends with respect to claims pended or denied by Workers' Compensation, along with any other reimbursement issues. The Billing Specialist will “scrub” all data relevant to the Workers' Compensation revenue cycle to be sure that charges are billed correctly and on a timely basis. The Billing Specialist will challenge inaccurate payments or denials of payment.

Billing Specialist-Workers Compensation Duties

• The duties and responsibilities below shall be learned and then delegated to the assistant office manager at the office manager’s discretion:
• Serve as the first line of assurance that patient and payment information is accurate, complete, and entered into our software system(s) promptly.
• Enter charge data on a daily basis.
• Notify the appropriate team of any missing or incomplete data to be corrected.
• File invoices or claims as directed by the Billing Manager.
• Monitor invoices and claims for timely payment or notification of denial
• Enter payments. Enter write-offs according to the company’s policy per payer.
• Challenge any payment that is not in accordance with the company’s agreement or contract.
• Serve as a point of reference for coding, billing, pricing, and payment issues.
• Cross-train to cover all appropriate roles in the event of a staffing shortage.
• Prepare daily, weekly, and monthly reports as requested by the leadership team.
• Ensure coordination of the Central Business Office Team as a whole and with other areas of the company.
• Assist medical providers with any issues/projects as needed.
• Monitor/maintain a positive work environment.
• Answer incoming office calls regarding revenue-cycle issues as required.
• Other duties as requested.