Revenue Cycle Specialist II – Medical Billing, Collections

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Northeast Georgia Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

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 update account information accurately • Resolve denials and ensure adherence to payer contract requirements • Maintain work queues and ensure timely resolution of accounts • 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 (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 • Patient accounting systems • Solid knowledge of Revenue Cycle functions • Personal computer proficiency • Excellent listening and problem-solving skills • Excellent customer service skills • Ability to work independently

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development