A/R Revenue Cycle Specialist

2 weeks ago


Atlanta, United States NSN Revenue Resources Full time

Job Type

Full-time

Description

Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for Ambulatory Surgery Centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement.

Responsibilities:

  • Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.
  • Prioritize high dollar claim balances through work queues
  • Review & work incoming insurance and patient correspondence including refund requests.
  • Send appeals when appropriate or provide the requested medical documentation.
  • Ability to review medical documentation to justify medical necessity.
  • Review patient balances to ensure accuracy and follow up with patients to obtain payments.
  • Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances.
  • Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.
  • Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD's) for claim resolution.
  • Negotiate payment amounts for procedures with Third Party Administrators for out of network providers.
  • Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
Requirements
  • 2+ years of ASC revenue cycle OR orthopedic collections experience is preferred.
  • Strong understanding of medical billing and insurance reimbursement processes, including experience with denials and appeals.
  • Ability to read and interpret insurance explanations of benefits and managed care contracts.
  • Excellent interpersonal and communication skills.
  • Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines.
  • Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
  • Advantx, Vision, HST, SIS Complete, or Waystar experience preferred.
  • High School Diploma or equivalent is required.


Salary Description

$18-$21

  • Atlanta, United States Piedmont Healthcare Full time

    Description: JOB PURPOSE: This position provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics. This role assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement. Through the analysis of key performance indicator data, this position...


  • Atlanta, United States Piedmont Healthcare Full time

    Description:JOB PURPOSE:This position provides oversight and support for Revenue Cycle integrity and workflow processes using data analytics. This role assures all established billing, systems, and process requirements have been met in order to ensure timely and optimal reimbursement. Through the analysis of key performance indicator data, this position...


  • Atlanta, United States PT Solutions Physical Therapy Full time

    Job Overview & Responsibilities: This role will contribute to PT Solutions success by owning the process to calculate, track, and ensure accuracy of private clinic net revenue. This position will scale the process of net revenue calculations with growth and provide Finance, Accounting, and Revenue Cycle with appropriate numbers at each month end close. ...


  • Atlanta, United States Tech9 Full time

    Job Title: Vice President of Revenue Cycle Company: Recovery Center USA Location: Atlanta, GA Job Type: Full-time Job Summary: The Vice President of Revenue Cycle will oversee and optimize the financial aspects of the addiction treatment center, with a focus on revenue management, billing, and payment processes. This leadership role requires a deep...


  • Atlanta, United States The Recovery Center USA Full time

    Job DescriptionJob DescriptionJob Title: Vice President of Revenue Cycle Company: Recovery Center USA Location: Atlanta, GA Job Type: Full-time Job Summary:The Vice President of Revenue Cycle will oversee and optimize the financial aspects of the addiction treatment center, with a focus on revenue management, billing, and payment processes. This leadership...


  • Atlanta, United States The Recovery Center Full time

    Job Title: Vice President of Revenue Cycle Company: Recovery Center USA Location: Atlanta, GA Job Type: Full-time Job Summary The Vice President of Revenue Cycle will oversee and optimize the financial aspects of the addiction treatment center, with a focus on revenue management, billing, and payment processes. This leadership role requires a deep...


  • Atlanta, United States The Recovery Center USA Full time

    Job DescriptionJob Description100% IN OFFICE POSITION-NO REMOTE WORKThe Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims,...


  • Atlanta, United States The Recovery Center USA Full time

    Job DescriptionJob Description100% IN OFFICE POSITION-NO REMOTE WORKThe Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims,...


  • Atlanta, United States Piedmont Healthcare Corporate Full time

    Description: RESPONSIBLE FOR: The Revenue Cycle Reporting Analyst is responsible for the research and understanding of all revenue cycle department workflows in order to facilitate effective report writing, management of all provisioning to revenue cycle tools and third party software systems and all Revenue Cycle employee newsletters, emails and updating...


  • Atlanta, Georgia, United States Emory Healthcare Full time

    Overview: Join Emory Healthcare if you’re looking for an opportunity with one of the largest private employers in Atlanta where those around you are dedicated to the power of teamwork, foster an environment where you can learn, grow and innovate with similarly passionate professionals. Work with us to improve the quality of life throughout Georgia through...


  • Atlanta, United States Piedmont Healthcare Corporate Full time

    Description: RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III...

  • Revenue Cycle Rep III

    2 weeks ago


    Atlanta, United States Piedmont Full time

    Description: RESPONSIBLE FOR: The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep...


  • Atlanta, United States D4C Dental Brands Full time

    D4C Dental Brands is Seeking a Revenue Cycle QA AnalystJob Summary:The analyst will handle all aspects of Posting & Payer analysis in the Revenue Cycle process for a large dental group. Candidates should be analytical, well organized and able to work under pressure in a strong team environment.  This support is crucial to the delivery of the company’s...


  • Atlanta, GA, United States Kaiser Permanente Full time

    DescriptionCandidates must reside in a Kaiser approved State (Currently- CA, WA, OR, CO, HI, GA, VA)Travel: 25% - 30%Job Summary:Performance - Enhances revenue and expense forecasting and capital and operating budgeting, ensuring efforts support, and are integrated into Market strategies. Actively participates with Shared Services and Market Revenue Cycle...

  • Sr. A/R

    6 days ago


    Atlanta, United States Incident IQ Full time

    Job DescriptionJob DescriptionWe are hiring a full time Sr. A/R / Billing Specialist to join our team!About Incident IQIncident IQ is a SaaS management platform built exclusively for K-12 schools that is transforming K-12 workflows including IT asset management, help ticketing, facilities maintenance solutions, and more. Our mission is to revolutionize how...


  • Atlanta, United States Emory Healthcare Full time

    Description The Director, Net Patient Revenue will take on a significant leadership role within Emory Healthcare to drive operational and financial effectiveness within the net revenue function of a complex health system. * Prepare support and perform the calculations for valuation of the accounts receivable across Emory Healthcare for all hospital and...


  • Atlanta, United States Piedmont Healthcare Corporate Full time

    Description: RESPONSIBLE FOR: Plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. With responsibility for the most complex clinical departments and practices and acting...


  • Atlanta, United States Grady Health System Full time

    External Description This position contributes and supports Revenue Integrity's Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the organization toward achieving operational efficiency, complete regulatory...


  • Atlanta, United States Grady Health System Full time

    External Description This position contributes and supports Revenue Integrity's Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the organization toward achieving operational efficiency, complete regulatory...


  • Atlanta, United States Engagifii Full time

    Job DescriptionJob DescriptionEngagifii is a leading provider of comprehensive B2B SaaS solutions, empowering associations, lobbying firms, and governmental organizations across the United States to enhance engagement and streamline operations. Committed to driving revenue growth and achieving company goals through innovation and collaboration, we are...