[Hiring] Revenue Cycle Specialist II @Northeast Georgia Health System

Role Description

Rev Cycle Specialist II handles complex account follow-up, denials, and claims resolution, working more independently and applying advanced knowledge of payer rules and billing systems.

Qualifications

• 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, and patient accounting systems

Requirements

• Solid knowledge of Revenue Cycle functions, including registration, authorization, and insurance billing
• Personal computer proficiency to include all programs necessary to perform job duties and ability to toggle between systems efficiently
• Excellent listening and problem-solving skills with attention to details
• 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

Essential Tasks and Responsibilities

• 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

Physical Demands

• Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
• Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
• Vision: Moderate, Occasionally 0-30% of time
• Kneeling/Stooping/Bending: Occasionally 0-30%
• Standing/Walking: Occasionally 0-30%
• Pushing/Pulling: Occasionally 0-30%
• Intensity of Work: Frequently 31-65%
• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding