Advanced Revenue Cycle Specialist II

Northeast Georgia Health System; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

Northeast Georgia Health System is seeking a Rev Cycle Specialist II to handle complex account follow-up, denials, and claims resolution with increasing independence and advanced payer knowledge.

The role emphasizes accurate research, effective communication, and adherence to payer requirements while delivering high-quality customer service within an administrative & clerical environment.

Qualifications

• High school diploma or GED required.
• CPAR certification or eligible to obtain within 6 months of hire.
• Minimum 3 years hospital or professional billing/collections experience.
• Strong understanding of payer policies, EOB interpretation, and patient accounting systems.

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.

Skills

Payer policies

Denials management

Customer service

Independent work

Education

High School Diploma or GED

Tools

Billing software

EHR / patient accounting systems

Job description

Northeast Georgia Health System is seeking a Rev Cycle Specialist II to handle complex account follow-up, denials, and claims resolution with increasing independence and advanced payer knowledge.

The role emphasizes accurate research, effective communication, and adherence to payer requirements while delivering high-quality customer service within an administrative & clerical environment.