Medical Billing and Collections Specialists

firstPRO 360 is currently seeking Medical Billing and Collections Specialists for our client a growing healthcare practice in Sandy Springs. This individual will be responsible for managing the full revenue cycle process, with a strong focus on insurance follow-up, collections, claims resolution, and account reconciliation. The ideal candidate will have a proven track record of improving collections, reducing outstanding balances, and ensuring timely reimbursement from insurance carriers and patients.

• Submit and monitor insurance claims for accuracy and timely reimbursement.
• Follow up with commercial insurance carriers, Medicare, Medicaid, and other payers regarding unpaid, denied, or underpaid claims.
• Research and resolve billing discrepancies, claim denials, and payment variances.
• Manage patient account balances and conduct collection activities while maintaining excellent customer service.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) documents.
• Process claims appeals and supporting documentation as needed.
• Maintain accurate patient billing records and account notes within the practice management system.
• Reconcile accounts and ensure proper posting of payments and adjustments.
• Work closely with providers, front office staff, and management to resolve billing issues.
• Meet established collection and reimbursement goals.
• Maintain compliance with HIPAA and all applicable healthcare regulations.

• 3–4 years of recent medical billing and collections experience required.
• Strong understanding of medical insurance billing, claims processing, and collections procedures.
• Experience working with commercial insurance carriers, Medicare, and Medicaid.
• Ability to identify and resolve denied or unpaid claims efficiently.
• Knowledge of CPT, ICD-10, and HCPCS coding principles preferred.
• Experience using EMR/EHR and medical billing software.
• Strong attention to detail and organizational skills.
• Excellent communication and follow-up skills.
• Proficiency in Microsoft Excel and Microsoft Office Suite.
• Preferred Qualifications
• Experience in a private medical practice or specialty healthcare setting.
• Familiarity with electronic claim submission and payment posting processes.
• CPC certification or billing certification is a plus but not required.

• Competitive salary of $50,000 annually
• Direct hire opportunity with long-term growth potential
• Medical, dental, and vision benefits
• Paid time off and holidays
• Opportunity for a flexible hybrid schedule (4 days in office) after 90 days based on performance