Business Office Claims Rep
Apply NowLocation:
Rome, GA, US
Company:
Harbin Clinic employs 1,300 professionals dedicated to healthcare in Northwest Georgia, focusing on patient care and operational excellence.
Summary:
The Claims Representative evaluates, resolves, and processes insurance claims and denials, working with clinical departments and third-party payers. The position requires a high school diploma or GED, with preferred certifications and experience in the medical field and knowledge of basic coding principles.
Requirements:
Credentials: High School Diploma or GED, Certification from a Medical Billing Program and/or a Professional Certified Coding credential preferred
Experience: Previous experience in the medical field, Working knowledge of basic coding principles using CPT, ICD-9, ICD-10, and HCPCS preferred but not required, Working knowledge of federal, state and local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations preferred but not required, Experience with procedural requirements of third-party medical insurance payers preferred but not required, Working knowledge of accounts receivable principles, procedures, standards and documentation preferred but not required
Job Description:
The Claims Representative is an important member of the business office team. This position is responsible for evaluating, resolving, and processing insurance claims and denials. The Claims Representative works closely with the clinical departments and third party payers. This position does offer Remote/Virtual work options.
Education Requirements:
1. High School Diploma or GED
2. Certification from a Medical Billing Program and/or a Professional Certified Coding credential preferred but not required
Experience Requirements:
3. Previous experience in the medical field
4. Working knowledge of basic coding principals using CPT, ICD-9, ICD-10, and HCPCS preferred but not required
5. Working knowledge of federal, state and local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations preferred but not required
6. Experience with procedural requirements of third-party medical insurance payers preferred but not required
7. Working knowledge of accounts receivable principles, procedures, standards and documentation preferred but not required
About Us
Harbin Clinic is made up of 1,300 proud professionals, each one All In to care completely for the people of Northwest Georgia. We offer competitive pay and benefits, a mostly Monday to Friday schedule, and a generous uniform allowance, along with the unique opportunity to learn and grow across more than 40 different medical specialties and services. Harbin Clinic seeks talented, invested individuals to become part of our healthcare team. Join us as we work to see our communities flourish!
Job Info
- Job Identification 2015
- Job Category Administrative Support Services
- Posting Date 04/25/2025, 02:06 PM
- Job Schedule Full time
- Locations 221 Technology Blvd, Rome, GA, 30165, US
