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

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

Revenue Cycle Specialist II – Medical Billing, Collections

Key skills