Senior Revenue Cycle Specialist

1 week ago


Atlanta, Georgia, United States Piedmont Healthcare Corporate Full time

Job Title: Revenue Cycle Representative III

Company: Piedmont Healthcare

Description:

The Revenue Cycle Representative III (Rep III) is a senior-level role responsible for managing critical aspects of physician billing and the revenue cycle process.

This position necessitates a comprehensive understanding of revenue cycle operations, gained through both practical experience and formal education. The Rep III plays a vital role in supporting patient-focused care by serving as an advocate for patients throughout the entire account management process. It is crucial to maintain high levels of productivity and accuracy, ensuring that performance aligns with the core values of Piedmont Healthcare.

Key Responsibilities:

  • Billing Procedures
  • Claims Submission
  • Data Management
  • Insurance Follow-Up Activities
  • Denial Resolution
  • Refund Processing
  • Customer Service Support
  • Self-Pay Collection Efforts
  • Advanced Revenue Cycle Functions

Qualifications:


EDUCATION:
High School diploma or equivalent (GED)


EXPERIENCE:
At least 5 years of experience in physician billing and revenue cycle management
LICENSURE/

CERTIFICATION:
Not mandated by law


ADDITIONAL QUALIFICATIONS:
In-depth knowledge of third-party insurance, Medicare regulations, HIPAA compliance, and relevant computer systems. Excellent customer service skills and professional demeanor.

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