Patient Account Rep III
Piedmont Healthcare Inc.•Vinings, GA
About The Position
This position is a senior specialist responsible for resolving the most complex claim issues, denials, and payer escalations. The role requires advanced knowledge of payer rules, regulatory requirements, and audit-ready documentation. The Patient Account Rep III serves as a subject matter expert, supports training and quality initiatives, and partners with leadership to improve processes and payer performance.
Requirements
- High school diploma or GED.
- At least 3 years of progressively responsible experience in hospital billing, follow up, denial management, or related revenue cycle functions.
Nice To Haves
- Experience with complex payer types, including Medicare Advantage, Medicaid Managed Care, Workers’ Compensation, TPL, and MSP.
- Advanced Epic proficiency.
- Experience supporting training, quality review, or process improvement.
Responsibilities
- Resolve complex claim issues, denials, and payer escalations.
- Serve as a subject matter expert.
- Support training and quality initiatives.
- Partner with leadership to improve processes and payer performance.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
