Medical Billing Specialist

Since our founding in 1785, the University of Georgia has operated as Georgia's oldest, most comprehensive, and most diversified institution of higher education (https://www.uga.edu/). The proof is in our more than 235 years of academic and professional achievements and our continual commitment to higher education. UGA is currently ranked among the top 20 public universities in U.S. News & World Report. The University's main campus is located in Athens, approximately 65 miles northeast of Atlanta, with extended campuses in Atlanta, Griffin, Gwinnett, and Tifton. UGA employs approximately 3,100 faculty and more than 7,700 full-time staff. The University's enrollment exceeds 41,000 students including over 31,000 undergraduates and over 10,000 graduate and professional students. Academic programs reside in 19 schools and colleges, including our newly formed School of Medicine.

Monday - Friday 8 am - 5 pm

We are unable to offer a work visa sponsorship for this position. You must be authorized to work in the U.S. to apply.

The University of Georgia is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, genetic information, national origin, race, religion, sex, or veteran status or other protected status. Persons needing accommodations or assistance with the accessibility of materials related to this search are encouraged to contact Central HR (hrweb@uga.edu).

The University System of Georgia is comprised of our 26 institutions of higher education and learning, as well as the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards. More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 8.2.18.1.2 and can be found online at https://www.usg.edu/policymanual/section8/C224/#p8.2.18_personnel_conduct.

Additionally, USG supports Freedom of Expression as stated in Board Policy 6.5 Freedom of Expression and Academic Freedom found online at https://www.usg.edu/policymanual/section6/C2653.

Requires technical knowledge in the field acquired through an apprenticeship, a 2-year degree, or professional certificate. Please contact your Human Resources office for an evaluation of education/experience in lieu of the required minimum qualifications.

UHC Minimum:
* Minimum of five (5) years experience in a healthcare environment with direct experience with financial counseling, insurance billing and follow-up. Knowledge of medical terminology related to Current Procedural Terminology ( CPT), Healthcare Common Procedure Coding System ( HCPCS) and International Statistical Classification of Diseases ( ICD-10).

UHC Preferred:
* Certified Professional Coder ( CPC) certification required, which includes staying current with AAPC (American Academy of Professional Coders) membership.
* Bachelor's or Associate degree in English, Business Administration or other related field from an accredited college or university required.
* Certified Professional Medical Auditor ( CPMA) certification preferred.
* Three (3) years experience in a multispecialty practice or hospital setting.

The Medical Billing Specialist is responsible for the preparation, correction, and billing of all medical, vision, CAPs, and dental claims for the University Health Center, ensuring accuracy and timeliness in line with Medicare guidelines. Key responsibilities include monitoring outstanding insurance claims requiring follow-up due to delayed payments by carriers and handling insurance denials. This position also involves answering phones in the Business Services Department, which includes processing patient payments over the phone and advising students on their benefits and account balances.

Be advised a credit check will be required for all positions with financial responsibilities. For additional information about the credit check criteria, visit the UGA Credit Background Check website.

Offers of employment are contingent upon completion of a background investigation including, a criminal background check demonstrating your eligibility for employment with the University of Georgia; confirmation of the credentials and employment history reflected in your application materials (including reference checks) as they relate to the job-based requirements of the position applied for; and, if applicable, a satisfactory credit check. You may also be subject to a pre-employment drug test for positions with high-risk responsibilities, if applicable. Please visit the UGA Background Check website.

Claim Preparation and Submissions

Claims Management and Insurance Reimbursement

Understands and Evaluates Medical Terminology

Referral Processing