Revenue Cycle Specialist II - Patient Contact Center 9:30 AM - 6 PM ET

About the role

Job Category: Administrative & Clerical

Work Shift/Schedule: 8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

Job Summary

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.

Minimum Job Qualifications

• Licensure or other certifications: GA HMFA Certified Patient Account Representative (CPAR) Certification (or must obtain with 6 months of hire)
• Educational Requirements: High School Diploma or GED
• Minimum Experience: Minimum 3 years hospital or professional billing/collections experience.
• Other: Strong understanding of payer policies, explanation of benefits interpretation, and patient accounting systems.

Preferred Job Qualifications

• Preferred Licensure or other certifications:
• Preferred Educational Requirements:
• Preferred Experience:
• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• 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

Additional information

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.