Position Summary
Caduceus is seeking a detail-oriented Medical Billing, Payment Processing & Workers’ Compensation Specialist to support our billing department. This role combines medical billing and claim submission, payment/check processing, medical records administration, and workers’ compensation collections
Key Responsibilities:
Payment & Check Processing
- Receive, organize, track, and process incoming insurance and payer checks.
- Match payments and checks to the correct patient account, claim, carrier, or invoice.
- Review accompanying EOBs/EORs and payment documentation.
- Research unidentified, missing, delayed, or unapplied payments.
- Coordinate with billing and payment-posting staff to ensure payments are accurately applied.
- Maintain an organized audit trail of checks and payment activity.
- Follow up with carriers when payment information, EOBs/EORs, or check details are missing.
- Escalate payment discrepancies requiring additional investigation.
Medical Records
- Process incoming medical records requests accurately and timely.
- Prepare and send requested records using approved secure methods.
- Confirm proper authorization before releasing protected health information.
- Track open and completed medical records requests.
- Maintain HIPAA-compliant documentation and confidentiality.
Workers’ Compensation Collections
- Follow up with carriers, TPAs, and adjusters on outstanding workers’ compensation balances.
- Research unpaid or underpaid claims and determine the appropriate next action.
- Obtain claim status, payment status, check information, EOBs/EORs, and missing documentation.
- Identify accounts requiring rebilling, correction, additional documentation, appeal, or escalation.
- Document collection activity and next follow-up dates in the billing system.
- Support departmental collection and AR-reduction goals.
Qualifications
- Previous experience in medical billing, healthcare payment processing, workers’ compensation billing/collections, or revenue cycle management preferred.
- Knowledge of medical claims, EOBs/EORs, insurance payments, and basic billing workflows.
- Experience working with EMR or medical billing systems.
- Comfortable communicating with insurance carriers, adjusters, and payer representatives.
- Strong attention to detail and ability to research account discrepancies.
- Strong organizational and follow-up skills.
- Basic to intermediate Microsoft Excel skills.
- Ability to manage multiple responsibilities independently in a high-volume environment.
- Knowledge of HIPAA and patient confidentiality requirements.
Ideal Candidate
We are looking for someone who is:
- Highly organized and detail-oriented.
- Comfortable handling checks and payment documentation accurately.
- Experienced with medical billing and insurance claim follow-up.
- Able to move efficiently between billing, payments, records, and collections responsibilities.
- Reliable, accountable, and able to work independently.
- Comfortable learning different payer and carrier requirements.
What Success Looks Like
Success in this role means claims are submitted correctly, payments and checks are accounted for, medical records requests are completed in a timely manner, and outstanding workers’ compensation accounts consistently move toward resolution and payment.
Job Type: Full-time
Pay: $20.00 - $23.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Experience:
- Workers' compensation: 1 year (Preferred)
- Medical records: 1 year (Required)
Ability to Commute:
- Hapeville, GA 30354 (Required)
Work Location: In person
