As a Revenue Cycle Specialist, you will oversee a portfolio of delinquent healthcare accounts, ensuring financial stability through claim management and strategic resolution of payment discrepancies. You will be responsible for denial management and managing the appeals process to ensure resolving billing disputes. This position is an on-site position in Smyrna, GA. 

salary: $49,920 - $52,000 per year
shift: First
work hours: 8 AM - 5 PM
education: Bachelors

Responsibilities

• Prioritize and manage aged healthcare accounts with a focus on maximizing revenue recovery
• Investigate and resolve denied or underpaid claims by collaborating with insurance carriers and internal stakeholders
• Execute formal appeals for disputed claims, ensuring all coding and regulatory documentation meets compliance standards
• Analyze EOBs and remittance advice to validate payment accuracy and reconcile complex accounts
• Denial management: Identify recurring denial trends
• Take ownership of delinquent accounts, using aging reports to target high-impact revenue opportunities
• Manage the end-to-end appeals process, ensuring all submissions align with current coding standards
• Negotiate payment terms and resolve billing inquiries with policyholders, providers, and third-party administrators
• Navigate patient accounts via EPIC 
• Manage a portfolio of delinquent healthcare accounts, ensuring financial stability through meticulous claim management and strategic resolution of payment discrepancies

SkillsClaims ProcessingEHR/EpicDenials Management Medical BillingMedical Billing - DenialsCPT CodesICD-10HIPAAMedical SoftwareProcessing Claims Re-billing Claims Government Insurance Commercial Insurance Medicare/MedicaidMedical Claims Processing Medical Billing - UnderpaymentsMedical Appeals EOB Review Verbal CommunicationWritten Communication
QualificationsYears of experience: 4 yearsExperience level: Experienced