American ID Group is a healthcare services organization focused on accurate, compliant, and efficient medical billing and reimbursement processes.
Team members use modern billing tools and payer guidelines to support timely, correct payments while emphasizing integrity, attention to detail, and collaboration.
This is a full-time, on-site Medical Biller / Denial Management Specialist role based in Chattanooga, TN. The specialist will review, submit, and follow up on medical claims to insurance carriers, Medicare, and other payers to ensure accurate and timely reimbursement. Responsibilities include analyzing and resolving denials, correcting claim errors, updating codes and documentation, re-submitting appeals as needed, verifying patient insurance coverage, interpreting explanation of benefits (EOBs), and communicating with payers, patients, and internal teams to reduce recurring denials. The role also requires maintaining detailed billing records, adhering to regulatory and payer-specific requirements, and collaborating with clinical and administrative staff to improve billing accuracy and workflows.
Qualifications
- Strong knowledge of medical terminology to accurately interpret clinical documentation and billing information.
- Experience working with denials, including root-cause analysis, appeals, and follow-up to reduce recurring issues.
- Proficiency with ICD-10 coding for accurate claim submission and compliance with payer and regulatory standards.
- Understanding of commercial insurance processes, benefits verification, and coordination of benefits.
- Familiarity with Medicare rules, coverage guidelines, and billing requirements.
- Prior experience in medical billing, denial management, or revenue cycle operations in a healthcare setting.
- Ability to work accurately with high volumes of data, with strong attention to detail and organizational skills.
- Effective written and verbal communication skills for interacting with payers, patients, and internal teams.
- Proficiency with practice management or billing software and basic MS Office applications.
- High school diploma or equivalent required; additional coursework or certification in medical billing/coding is preferred.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 months ago