Top 43 Medical claims Jobs in Columbus Ga

Revenue Cycle Specialist
St. Francis-Emory Healthcare —Columbus, GA
- Hospital
- Mid-level
- High school diploma or GED
14d
Medical Claims Analyst - Veterans Affairs (On-site)
Aspirion —Columbus, GA
- $17.45 - $19.00 an hour
- Full-time
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
7d
Phone Operator
The NEXus Pain Center —Columbus, GA
- $15 an hour
- 8 hour shift
- In-person
- Entry level
- Health savings account
- Health insurance
Quick Apply
Patient Billing Representative
Five Star Call Centers —Columbus, GA
- $14 an hour
- Full-time
- Remote
- Background check
- HIPAA
- English
- Paid training
21h
Full-Time Optometrist – Veterans Disability Exams | $800/Day | Columbus, GA
Frontera Search Partners —Columbus, GA
- $800 a day
- Full-time
- Background check
- Mid-level
- Clinic
- Health savings account
- Disability insurance
Quick Apply
Remote Mental Health Provider
Telemynd —Georgia
- $100,000 - $150,000 a year
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Insurance Coordinator
Fresenius Medical Care —Columbus, GA
- Full-time
- Customer service
- Mid-level
- Clinic
Billing / Pre-cert Specialists
RCRSS —Columbus, GA
- $15 - $17 an hour
- Full-time
- Word processing
- Mid-level
- High school diploma or GED
Quick Apply
Operations Manager
New Horizons Behavioral Health —Columbus, GA
- $34,278 - $37,706 a year
- Full-time
- Background check
- Addiction Medicine
- 5 years
Quick Apply
Pharmacy Customer Service Associate
Walgreens —Midland, GA
- $16 - $18 an hour
- Part-time
- Computer literacy
- Basic math
- Maintenance
- Continuing education credits
- Health insurance
13d
Optical Associate / Optician
Eye Health America LLC —Columbus, GA
- Overtime
- Inventory management
- Travel
- 1 year
- Paid training
- Wellness program
Quick Apply
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens —Phenix City, AL
- $16.50 - $20.00 an hour
- Part-time
- Computer literacy
- English
- Fair chance
- Health insurance
- Dental insurance
Diagnostic Radiologic Technologist (Mammography)
US Military Treatment Facilities under DHA —Fort Benning, GA
- $59,095 - $76,820 a year
- Weekends as needed
- Background check
- BLS Certification
- Pass drug screening
- Loan repayment program
7d
Certified Pharmacy Technician
Walgreens —Phenix City, AL
- $17.50 - $21.00 an hour
- Part-time
- Computer literacy
- English
- Fair chance
- Continuing education credits
- Health insurance
Clinical Audiologist - Part-Time - Columbus, GA
Commonwealth Medical Services —Columbus, GA
- $600 - $750 a week
- Part-time
- Entry level
Quick Apply
14d
Psychologist
MODERN MED HEALTH SOLUTIONS —Columbus, GA
- $120 - $195 an hour
- Part-time
- Computer literacy
- Outpatient experience
- Clinic
- Flexible schedule
Quick Apply
Licensed Therapist (Georgia Licensure)
Kindbridge Behavioral Health —Columbus, GA
- Choose your own hours
- Remote
- LMFT
- Spanish
- Addiction Medicine
- 401(k) matching
Quick Apply
1d
Child and Adolescent Therapist - Arizona
Emora Health —United States
- $60 - $80 an hour
- Choose your own hours
- Remote
- LMFT
- Spanish
- Licensed Clinical Social Worker
- Flexible schedule
Quick Apply
Contract Attorney Medical Mal
Consilio Services —United States
- $75 an hour
- Full-time
- Remote
- Mid-level
- 3 years
Quick Apply
3d
Remote Therapist (LCSW, LMHC, LMFT) - NY License Required
Comprehensive Counseling LCSW —United States
- $40 - $65 an hour
- Contract
- Remote
- Bilingual
- LMFT
- Licensed Clinical Social Worker
Quick Apply

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medical claims jobs near columbus ga

Revenue Cycle Specialist

St. Francis-Emory Healthcare -
Columbus, GA

Apply Now

Job Details

14 days ago

Qualifications

Patient question and concern management
Medical claims processing
Overseeing health insurance pre-certification
Professional ethics
Healthcare documentation compliance audits
Medical billing compliance checks
De-escalation techniques
Conflict de-escalation
Mid-level
SOX
Financial issue resolution
High school diploma or GED
Charge capture (medical billing)
Working with students
Decision making
SOX compliance testing
Working with individuals from diverse cultural backgrounds
New hire orientation
Medical billing account reconciliation
Clinical documentation improvement
Overseeing audit functions
Deposits
Billing issue inquiries
Claims documentation management
Clinical documentation standards
Healthcare claims compliance audits
Healthcare coding investigations
Accrual accounting
Documentation review
Balancing end-of-day transactions

Full Job Description

Facility St. Francis-Emory Healthcare
Req ID 557496 Post Date 08/07/2026 Category Accounting and Finance

Description

Join St. Francis–Emory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from the Joint Commission, and was a rated Top Large Hospital in Georgia. St. Francis also delivers advanced heart, orthopedic, and women’s care services. At St. Francis, you will experience a culture of excellence where your work directly shapes the health of our community.

Job Summary

The Revenue Cycle Specialist assists in resolving billing edits that are holding patient claims from Billing, by reviewing medical records and other applicable documentation. This individual will improve the accuracy, integrity and quality of patient charges and will ensure minimal variation in charging practices. The Revenue Cycle Specialist will coordinate all retrospective, concurrent, patient complaint and external billing audits.

Essential Functions

Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Working knowledge of precertification and authorizations.
Exhibits expertise in editing claims for errors and communicating these corrections by eRequest to Parallon.
Balances, reconciles, and approves the daily deposit for Parallon.
Effectively explain charges and demonstrates the ability to answer questions concerning patient accounts.
Interacts in a positive and professional manner with patients/customers and co-workers.
Ensures the Charge Batch Report is worked and any rejects are corrected in a timely manner.
Analyzing and resolving patient claims being held by billing edits on the Bill 45, Bill 49, CRT Medical necessity, Correct Coding Initiative, Outpatient code Editor (OCE), Inpatient Code Editor, Self-Administered and other claims requiring clinical expertise’s.
Interact with ancillary departments to obtain additional information needed to properly bill the account based on medical record documentation.
Identify charging, coding, or clinical documentation issues and work with ancillary departments to resolve those issues and notify appropriate leadership.
Serves as a charge master liaison to include regular reviews of CPT codes, Revenue Codes, reviews of monthly standard CDM error report and communicating with Ancillary departments to resolve issues.
Responsible for maintaining the Physician Master and the Insurance Master file
Responsible for any charge error corrections.
Manages CRNA billing for both the hospital BCBS in State plans and off-site billing company.
Manages the PLUS report for staff volume.
Manages and completes all Industrial billing and follow-up.
Manages and assists ancillary departments with the Charge Audit Tool.
Responsible for adding Emergency Room Procedure charges.
Responsible for completion of the Skilled Nursing and Swing bed logs.
Responsible for exhibits 3, 4, 5, and 8 in the Standard Monthly Accrual (SMA) tool.
Responsible for balancing the Sleep Lab invoice.
Responsible for special projects and plays and key role in RAC and audits.
Displays appropriate office ethics and behavior with regard to interactions with customers, employees, and management. This includes handling conflicts and concerns in a timely and professional manner and utilizing crisis-de-escalation skills when appropriate.
Displays professionalism while completing multiple urgent tasks in a timely manner.
Functions as a preceptor or an educational resource in the initial and on-going orientation of new personnel, students, etc.
Respects and honors cultural and religious differences between patients and self.
Responsible for SOX Charge Audits.
Other duties as requested

Qualifications

Education

High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role (preferred)

Licenses/Certifications

Certified Revenue Integrity Professional Certification – Preferred

Experience

1+ year Medical Coding – Required
Experience with various payer types - Required

Apply Now

Refine Your Search

medical claims jobs in columbus ga

Revenue Cycle Specialist

Medical Claims Analyst - Veterans Affairs (On-site)

Phone Operator

Patient Billing Representative

Full-Time Optometrist – Veterans Disability Exams | $800/Day | Columbus, GA

Remote Mental Health Provider

Insurance Coordinator

Billing / Pre-cert Specialists

Operations Manager

Pharmacy Customer Service Associate

Optical Associate / Optician

Pharmacy Technician / Pharm Tech Apprenticeship

Diagnostic Radiologic Technologist (Mammography)

Certified Pharmacy Technician

Clinical Audiologist - Part-Time - Columbus, GA

Psychologist

Licensed Therapist (Georgia Licensure)

Child and Adolescent Therapist - Arizona

Contract Attorney Medical Mal

Remote Therapist (LCSW, LMHC, LMFT) - NY License Required

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