Denials & Appeals Specialist, Revenue Cycle Expert

Phoebe Putney Health System; Albany (GA); On-site; USD 52,000 - 68,000; Full time

Job summary

Phoebe Putney Health System in Albany, GA seeks a Revenue Cycle Denials Specialist to process and monitor follow up on denial accounts with payors, including disputes and appeals. This role supports compliant operations in alignment with organizational values.

Requirements include 2–3 years in patient accounting, with 5+ years in Revenue Cycle preferred and CPAR certification within 20 months. Compliance with HIPAA/ERISA and related regulations is essential.

Qualifications

• 2 year Associate Degree in Business Administration or closely related field, or 5 years experience in Revenue Cycle with patient accounting.
• 2-3 years experience in Patient accounting functions of Revenue Cycle (Required).
• 5+ years Revenue Cycle experience with concentration in Patient Accounting (Preferred).
• CPAR Certification must be obtained within 20 months of hire.

Responsibilities

• Process and monitor follow up on denial accounts with payors, including disputes and appeals.
• Grievances with governmental payors and state agencies.
• Ensure compliance with HIPAA, ERISA and other regulations.

Skills

Denials follow-up

Billing & denials recovery

Revenue Cycle knowledge

Patient accounting

Education

Associate Degree in Business Administration

5+ years Revenue Cycle experience

Job description

Phoebe Putney Health System in Albany, GA seeks a Revenue Cycle Denials Specialist to process and monitor follow up on denial accounts with payors, including disputes and appeals. This role supports compliant operations in alignment with organizational values.

Requirements include 2–3 years in patient accounting, with 5+ years in Revenue Cycle preferred and CPAR certification within 20 months. Compliance with HIPAA/ERISA and related regulations is essential.