About The Position

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.

Requirements

  • GA HMFA Certified Patient Account Representative (CPAR) Certification (or must obtain with 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.
  • 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.

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.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

501-1,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service