Revenue Cycle Specialist

2 weeks ago


Atlanta, Georgia, United States SENTA Partners Full time
Position Overview
As a Revenue Cycle Specialist at SENTA Partners, you will play a crucial role in managing the complexities of healthcare billing and appeals. Your primary responsibilities will include:
  • Denial Research: Investigate claim denials to assess the validity of appeals and identify opportunities for reversal.
  • Documentation Verification: Ensure that all relevant documentation supporting appeal arguments is meticulously organized and complete. This includes verifying that the appeal letter is well-structured and logically presented, utilizing the most compelling evidence available.
  • Proofreading and Editing: Review and refine appeal letters to eliminate any spelling, grammatical, or syntactical errors prior to submission.
  • Compliance with Protocols: Adhere to internal documentation control protocols and ensure timely filing of appeals.
  • Collaboration: Engage with both internal and external stakeholders to address inquiries and concerns related to the appeal process, escalating issues as necessary.
  • Follow-Up: Monitor the status of all corrected claims and appeals submitted.
  • EMR Notation: Maintain detailed records in the EMR system for all accounts processed.
  • Reimbursement Calculation: Assess expected reimbursement amounts for claims.
  • Policy Knowledge: Maintain a thorough understanding of payer policy guidelines and contracts.
  • Fee Schedule Familiarity: Possess a clear understanding of applicable fee schedules.
Qualifications
  • High School Diploma required.
  • Preferred experience of 2 years in a related field.
  • Strong verbal and written communication skills.
  • Exceptional organizational abilities and attention to detail.
  • Professional demeanor with a friendly attitude.
  • In-depth knowledge of payer policies and guidelines.
  • Familiarity with coding standards.


  • Atlanta, Georgia, United States Piedmont Healthcare Corporate Full time

    POSITION SUMMARY: The Revenue Cycle Specialist II plays a crucial role in managing various essential functions within the Central Business Office. This position requires a demonstrated ability to proficiently manage at least one unit function of the Central Business Office for a minimum of two years. Responsibilities include, but are not limited to:...


  • Atlanta, Georgia, United States Piedmont Healthcare Corporate Full time

    POSITION SUMMARY: The Revenue Cycle Specialist II plays a crucial role in managing the essential operations of the Central Business Office. This position requires the individual to have demonstrated proficiency in at least one unit function of the Central Business Office for a minimum of two years. The responsibilities include, but are not limited to:...


  • Atlanta, Georgia, United States Skyland Trail Full time

    Job SummarySkyland Trail is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our Patient Accounts Department, you will be responsible for ensuring the smooth operation of our revenue cycle processes.Key ResponsibilitiesAssist in the daily operations of the Patient Accounts Department, providing exceptional customer...


  • Atlanta, Georgia, United States Skyland Trail Full time

    Job SummarySkyland Trail is seeking a highly skilled Revenue Cycle Specialist to join our team. As a key member of our Patient Accounts Department, you will be responsible for ensuring the smooth operation of our revenue cycle processes.Key ResponsibilitiesAssist in the overall daily operations of the Patient Accounts Department, providing exceptional...


  • Atlanta, Georgia, United States Piedmont Healthcare Corporate Full time

    POSITION SUMMARY: The Revenue Cycle Specialist II plays a crucial role in managing various essential functions within the Central Business Office. This position requires the individual to have demonstrated proficiency in at least one specific area of the Central Business Office for a minimum of two years. The responsibilities include, but are not limited to:...


  • 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...


  • 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 that oversees critical aspects of physician billing and revenue management. This position necessitates a comprehensive understanding of the revenue cycle, gained through substantial experience and...


  • 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 critical aspects of physician billing and revenue management. This position necessitates comprehensive knowledge of the revenue cycle, developed through both professional...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Position OverviewAs a Revenue Cycle Specialist at SENTA Partners, you will play a crucial role in managing the appeals process for denied claims. Your responsibilities will include:Denial Research: Investigate denials to ascertain if there is a valid case for appeal.Documentation Verification: Ensure all necessary documentation supporting the appeal is...


  • Atlanta, Georgia, United States Rose International Full time

    Job SummaryRose International is seeking a highly skilled Senior Revenue Cycle Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for identifying trends, conducting follow-up, and performing root cause analysis on unpaid and underpaid Medicaid and managed plan insurance claims.Key ResponsibilitiesClaim Resolution:...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Position Overview:We are looking for a meticulous and experienced Healthcare Revenue Cycle Analyst to join our innovative team at SENTA Partners. The successful candidate will have a strong background in analyzing electronic medical records (EMR) and revenue cycle management (RCM) data from various systems. This role demands a comprehensive understanding of...


  • Atlanta, Georgia, United States Piedmont Healthcare Corporate Full time

    Job SummaryPiedmont Healthcare Corporate is seeking a highly skilled Revenue Cycle Representative III to join our team. This advanced position requires a deep understanding of revenue cycle processes and a strong ability to multitask.Key ResponsibilitiesManage all key functions of the physician billing revenue cycle, including billing, claims filing, data...


  • Atlanta, Georgia, United States PT Solutions Full time

    Position Overview: The Accounts Receivable Coordinator plays a vital role in supporting PT Solutions by managing the revenue cycle process, focusing on the collection of outstanding debts from patients and insurance providers. Key Responsibilities: Manage aged receivables through comprehensive A/R reports. Evaluate adjudicated claims to ensure timely and...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Position Overview:We are looking for a meticulous and experienced Healthcare Revenue Cycle Analyst to become a vital part of our innovative team at SENTA Partners. The successful candidate will have a strong background in analyzing data from Electronic Medical Records (EMR) and Revenue Cycle Management (RCM) systems. This role demands a comprehensive...


  • Atlanta, Georgia, United States Prestige Staffing - Healthcare Jobs - Revenue Cycle Full time

    Job Description**Job Summary:**We are seeking a highly skilled Medical Biller/Collector Specialist to join our team at Prestige Staffing - Healthcare Jobs - Revenue Cycle. As a key member of our revenue cycle team, you will be responsible for managing follow-up claim queues, organizing daily workload, and ensuring timely payment from insurance and government...


  • Atlanta, Georgia, United States Grady Health System Full time

    JOB DESCRIPTION Grady Health System provides a variety of career opportunities for your professional advancement. Regardless of your experience level, you can discover a fulfilling role at Grady. JOB SUMMARY: The Senior Revenue Cycle Analyst plays a vital role in achieving the strategic business goals of the Revenue Cycle. Under the guidance of the Revenue...


  • Atlanta, Georgia, United States SENTA Partners Full time

    Position OverviewThe Revenue Cycle Representative plays a crucial role in managing and resolving claims denials. This position involves thorough research and analysis to determine the validity of denial cases and to strategize effective appeals.Key ResponsibilitiesConduct comprehensive investigations into claims denials to ascertain whether there is a valid...


  • Atlanta, Georgia, United States TTS technologies Full time

    Healthcare Revenue Cycle Sales ExecutiveDirect HireRemote K Base Salary (Uncapped Commissions and OTE 300K)Start:ASAPA leading firm in providing Healthcare Revenue Cycle services is looking for a Healthcare Revenue Cycle Sales Executive.Responsibilities:Responsible for leading the successful sales initiatives for HealthCare professional services.Knows how to...


  • Atlanta, Georgia, United States Sun Technologies Full time

    Job SummarySun Technologies is seeking a highly skilled and detail-oriented Financial Analyst / Billing and Collections Specialist to join our team. As a key member of our Fire Control group, you will be responsible for providing exceptional billing support and ensuring accurate and timely internal and external customer billing.Key ResponsibilitiesProvide...


  • Atlanta, Georgia, United States Rose International Full time

    Position Overview:The role of Senior Revenue Cycle Specialist focuses on the efficient management of Medicaid collections. Comprehensive training and necessary resources will be provided to ensure success in this position.Work Schedule: Regular business hours, Monday to Friday, with an 8-hour shift.Required Skills and Qualifications:Proficient in Microsoft...