Top 9591 Jobs in Dalton, GA

Medical Billing & Credentialing Specialist
Dalton Ear, Nose & Throat Assoc —Dalton, GA
- $22 an hour
- Full-time
- Writing skills
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
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1d
Multi-Site Community Manager - North GA
Vicinia Property Management —Dalton, GA
- Full-time
- Mid-level
- Residential
- Apartments
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Shipping Supervisor
Textile Coating —Dalton, GA
- Full-time
- Background check
- Data analysis skills
- Mid-level
- Health savings account
- Health insurance
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Sales Representative
Bella Flooring Group —Dalton, GA
- Up to $40,000 a year
- Full-time
- Sales
- Mid-level
- Analysis skills
- Travel reimbursement
- Cell phone reimbursement
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Front Desk Clerk
Hometown Inn —Ringgold, GA
- $9 - $10 an hour
- 8 hour shift
- In person
- Hotel
- High school diploma or GED
- US work authorization
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Warehouse Production Worker
North Georgia Staffing —Dalton, GA
- $15 - $20 an hour
- No experience needed
- Warehouse
- Entry level
- On-the-job training
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Merchandising Support Clerk
The Dixie Group, Inc. —Dalton, GA
- Full-time
- Microsoft Outlook
- Merchandising
- Office
- Health insurance
- Dental insurance
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Patient Coordinator
Aspen Dental —Dalton, GA
- $16 - $18 an hour
- Full-time
- 18 years or older
- Dental office
- High school diploma or GED
- Health insurance
- Dental insurance
8d
Retail Stocking Associate
Harbor Freight —Dalton, GA
- $15.25 an hour
- Part-time
- Entry level
- Paid holidays
- Disability insurance
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11d
Front Office Receptionist
Dalton Optometry —Dalton, GA
- $13.50 - $15.00 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
Team Member
Tractor Supply Company —Dalton, GA
- Overtime
- 18 years or older
- Computer literacy
- No experience needed
- Paid parental leave
- Disability insurance
5d
Cashier
Chicken Salad Chick —Dalton, GA
- Part-time
- Serving
- No education required
- English
- 401(k)
- Employee discount
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Team Member
Chicken Salad Chick —Dalton, GA
- Part-time
- Serving
- No education required
- English
- 401(k) matching
- Employee discount
Quick Apply
Crew
AMC Theatres —Dalton, GA
- $10.00 - $10.50 an hour
- Part-time
- No experience needed
- Cash register
- Ability to lift 50 pounds
- Employee assistance program
- Flexible schedule
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Part Time Customer Service Representative
Engineered Floors, LLC —Dalton, GA
- Overtime
- Hybrid work
- Entry level
Quick Apply
7d
Store Team Member
Academy Sports —Dalton, GA
- Part-time
- Sales
- Merchandising
- Cash register
Customer Service Representative
Engineered Floors, LLC —Dalton, GA
- Overtime
- Hybrid work
- Entry level
Quick Apply
7d
Security Officers
Securitas Security Services —Dalton, GA
- Full-time
- Hospitality
- No experience needed
- Food service
- Paid holidays
- Disability insurance
Stocker
Walmart —Dalton, GA
- $14 - $27 an hour
- Part-time
- High school
- Forklift
- Ability to lift 50 pounds
- Paid jury duty
- Disability insurance
Front Desk Receptionist
Summit Spine and Joint Centers —Dalton, GA
- Full-time
- Surgery
- Bachelor's degree
- Travel
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Jobs jobs near Dalton, GA

Medical Billing & Credentialing Specialist

Dalton Ear, Nose & Throat Assoc
Dalton, GA

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Job Details

Full-time
$22 an hour
1 day ago

Benefits

Disability insurance
Health insurance
401(k)
Paid time off
401(k) matching
Life insurance

Qualifications

Appeals
Teamwork
Medicare
Writing skills
Provider enrollment for medical credentialing
CMS
Regulatory compliance in claims processing
HIPAA
Patient management software
High school diploma or GED
CMS regulatory compliance
Medicare regulations
Medical credentialing
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Clinical confidentiality policies
Data analysis software
Time management

Full Job Description

Essential job responsibilities:

Revenue cycle support:

· Perform daily billing functions for ENT clinical services, audiology services, allergy department, and surgical procedures.

· Ensures accurate charge capture, coding and claims submission.

· Monitors accounts receivable denials and collections.

· Identify billing trends and assist in implementing performance improvements.

Credentialing & Recredentialing:

· Perform credentialing and recredentialing for the ENT providers and ASC facility.

· Maintain up-to-date records with Medicare, Medicaid, and commercial payers.

· Coordinate updates and submissions through credentialing platforms such as CAQH and PECOS.

Claims & Compliance:

· Submit facility and professional paper/electronic claims using UB-04 & CMS 1500 forms

· Review electronic remittance advice (ERA) and EOBs for payment accuracy.

· Resolve rejected or denied claims and prepare and submit appeals.

· Ensure compliance with HIPAA, CMS and Georgia specific billing regulations.

Team Collaboration & Support:

· Work closely with billing staff, providing assistance and sharing updates on coding changes, payer rules, and compliance requirements.

· Participate in audits and quality reviews as directed by the Practice Administrator.

Reporting & Analysis:

· Prepare monthly billing and AR reports for Administrator.

· Track clean claim ratios, underpayments, and payer performance.

· Recommend workflow or system improvements based on data insights.

Other Duties:

· Perform additional tasks as assigned by Administrator, or Providers.

Education:

High school diploma or general equivalency diploma (GED) with additional degree or certification as a CPB, CPC, CCA, CCS, CPSC or CMRS.

Experience:

3-5 years in medical billing or revenue cycles roles, including coding, and claim processing. Strong understanding of HIPAA and CMS guidelines and payer specific rules is also essential.

Performance Requirements:

Knowledge:

1. CPT, ICD-10, HCPCS coding systems

2. UB-04 and CMS 1500 claim formats

3. Medicare, Medicaid, and commercial payer guidelines

4. ASC billing and reimbursement structures.

5. Credentialing platforms (CAQH, PECOS, Availity)

Skills:

1. Proficiency in billing software and EHR systems (Athena)

2. Excel proficiency for reporting and analysis.

3. Strong written and verbal communication.

4. Organizational and time management skills.

Abilities:

1. Interpret payer contracts and reimbursement policies.

2. Lead credentialing processes accurately and timely.

3. Identify billing inefficiencies and recommend corrective actions.

4. Maintain confidentiality and uphold HIPAA standards.

5. Adapt to regulatory changes and payer updates.

Equipment Operated: Standard office equipment, computerized health information management system, vendor and payer software platforms etc.

Work Environment: Professional medical office setting with frequent interactions with patients, physicians, and internal departments. May involve dealing with sick or distressed patients.

Mental/Physical Requirements: Interruptions and multitasking are common, requiring strong focus and adaptability. High volume billing cycles and tight deadlines can create a fast-paced and occasionally stressful atmosphere. Extended periods of sitting while working on billing systems and reports. Occasional stooping, bending, and stretching to receive retrieve files or supplies. May need to lift paper files or office materials weighing up to 30 lbs. Must be able to operate a keyboard and office equipment efficiently. Normal visual acuity and hearing are essential for reading documents and communicating effectively.

Job Type: Full-time

Pay: $22.00 per hour

Benefits:

401(k)
401(k) matching
Disability insurance
Health insurance
Life insurance
Paid time off

Experience:

Credentialing: 3 years (Required)
Medical billing: 3 years (Required)
Medical Coding: 3 years (Required)

Work Location: In person

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Refine Your Search

jobs in Dalton, GA

Medical Billing & Credentialing Specialist

Multi-Site Community Manager - North GA

Shipping Supervisor

Sales Representative

Front Desk Clerk

Warehouse Production Worker

Merchandising Support Clerk

Patient Coordinator

Retail Stocking Associate

Front Office Receptionist

Team Member

Cashier

Team Member

Crew

Part Time Customer Service Representative

Store Team Member

Customer Service Representative

Security Officers

Stocker

Front Desk Receptionist

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