14 jobs found in Augusta

Reimbursement SpecialistAre you an experienced accounting professional who enjoys medical billing functions? Are you detail oriented and enjoy independent work in a dynamic, fast-paced environment? Do you possess a high degree of initiative? Then we are looking for you!This is a full-time position located in Augusta.Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.Core Responsibilities:• Creating and sending medical claims to government and private insurance agencies on behalf of the State's two psychiatric hospitals.• Reconciliations of all insurance related transactions, communicating with internal and external agencies and customers, accounts receivable follow-up, and posting of payments received.• Working directly with providers/clients to support their overpayment repayment efforts and maximizing funds recovered, while adhering to all State and Federal rules and regulations.• Handling both incoming and outgoing collection calls, responding...

Job Description Job Description Are you ready to take your career to the next level in a dynamic and supportive environment? A O Multispecialty Clinic is seeking motivated individuals to join our Insurance Department as Insurance Reimbursement and Prior Authorization Specialists. If you have billing experience and a passion for helping others navigate the complexities of healthcare, we want to hear from you! Key Responsibilities: -Process insurance reimbursements and prior authorizations efficiently and accurately. -Communicate with insurance companies, healthcare providers, and patients to resolve billing issues and ensure timely payments. -Maintain up-to-date knowledge of insurance policies, coding practices, and regulations. -Collaborate with the clinical team to ensure seamless patient care and billing processes. Qualifications: Previous experience in medical billing or insurance reimbursement is required, 1-2 years minimum. -Strong attention to detail and...

MaineGeneral Health in Augusta, ME is seeking a supervisor for Plant Operations to oversee daily staff activities in a designated area. You will determine staffing levels, assign duties, provide orientation, training, coaching and mentoring, and assist with performance evaluations and disciplinary actions. You will assess service quality, ensure policy compliance, and lead staff development. Some roles may involve driving for work. #J-18808-Ljbffr

Datavant is seeking experienced outpatient coders for a fully remote role with a flexible schedule. The position emphasizes accuracy, coding for diagnoses and procedures, and timely data abstraction to support hospital statistics and reporting. The role requires AHIMA or AAPC credentials and at least 3 years of hospital coding experience, with proficiency across multiple coding specialties. A focus on communication, time management, and adherence to ethics is essential. #J-18808-Ljbffr

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Apparo Academy in Augusta, GA seeks a Medical Office Receptionist to greet patients, manage check-ins, answer calls, collect payments, and support front-desk operations while maintaining EMR confidentiality. Ideal candidates have prior medical office experience, strong communication, and HIPAA knowledge; high school diploma required. The role offers health insurance, retirement plan, PTO and a competitive salary. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

The Medical Records department at Eisenhower Army Medical Center, Fort Gordon, Augusta, GA, is seeking a detail-focused professional to oversee and process health records. The role requires access control and adherence to secure handling of sensitive information with standard office hours. The successful candidate will manage scanning, indexing, and quality control while directing daily tasks, prioritizing workloads, and ensuring accurate disposition of records. #J-18808-Ljbffr

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens! Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career! Job Title: LPN / Medical Dept Supervisor - YCA Ft. Gordon Agency: Department of Defense Job Requisition ID: JR0000003506 Shift: Any (United States of America) Compensation Details: $50,000 Job Description: The purpose of the Youth Challenge Program (YCP) is to recruit, enroll, and train at‑risk youth who have left high school without a diploma (dropouts or expulsions) to complete work on their General Educational Development (GED) Diploma, and to receive life skills training. The program is structured similar to a US Army basic training company, providing military structure and discipline,...

State of Georgia seeks a LPN / Medical Department Supervisor for the Youth Challenge Program (YCP) at Ft Eisenhower, Augusta. The supervisor oversees cadet medical care, medication administration, and coordination with the health team to ensure compliance with HIPAA and clinical standards. Requires a Georgia LPN license or higher, a relevant diploma/degree, and 2 years of supervisory experience or 1 year at a lower level. Background checks and drug testing are part of the process. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule, enabling you to contribute to healthcare data quality from your own workspace. You will assign ICD-10-CM/PCS codes, abstract patient records, audit Level 1 & 2 coders, promote documentation improvements, and maintain 95% coding accuracy and 95% MS-DRG accuracy, all while meeting productivity benchmarks. #J-18808-Ljbffr

Certified Professional Coder (CPC)We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...