Revenue Cycle Specialist II, EPIC EHR

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Northeast Georgia Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Northeast Georgia Health System is a healthcare organization dedicated to improving the health of the community it serves. With a presence that includes 5 hospitals, 6 urgent care locations, and more than 110 doctor's offices, imaging centers, cancer treatment centers, and laboratories, the system offers a comprehensive range of medical services. It provides career opportunities in various areas, including nursing, allied health, and support services, as well as residencies and fellowships for healthcare professionals. The organization is committed to its mission through adherence to core values, offering employee benefits, and engaging in community activities. With locations providing access to both metropolitan and natural amenities, it emphasizes quality of life for employees and residents in Northeast Georgia.

📋 Description

• Handle complex account follow-up, denials, and claims resolution • Review, resubmit, and follow up on complex insurance claims • Perform detailed account research and accurately update account information • Resolve denials and ensure adherence to payer contract requirements • Maintain work queues and ensure timely account resolution • Provide support to teammates and cross-train in additional revenue cycle functions • Demonstrate strong documentation, analytics, professionalism, and customer service

🎯 Requirements

• GA HMFA Certified Patient Account Representative (CPAR) Certification, or must obtain within 6 months of hire • High School Diploma or GED • Minimum 3 years hospital or professional billing/collections experience • Strong understanding of payer policies • Explanation of benefits interpretation • Experience with patient accounting systems • Solid knowledge of revenue cycle functions, including registration, authorization, and insurance billing • Personal computer proficiency with all programs necessary to perform job duties • Ability to toggle between systems efficiently • Excellent listening and problem-solving skills with attention to detail • Excellent customer service skills and ability to remain calm and professional in stressful situations • Excellent verbal and written communication skills • Ability to work independently within guidelines

🏖️ Benefits

• Equal Opportunity Employer • Investment in employees and support for reaching personal and professional goals