Patient Account Rep III

Piedmont Healthcare, Inc.; Atlanta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Piedmont Healthcare, Inc. is seeking a Senior Specialist in Atlanta to resolve the most complex claim issues, denials, and payer escalations. The role requires advanced knowledge of payer rules and audit-ready documentation.

The position supports training, quality initiatives, and partners with leadership to improve processes and payer performance within a hospital revenue cycle environment.

Qualifications

• 3 years of progressively responsible experience in hospital billing, follow up, denial management, or related revenue cycle functions.
• Experience with complex payer types (Medicare Advantage, Medicaid Managed Care, Workers' Compensation, TPL, MSP). Preferred
• Advanced Epic proficiency. Preferred
• Experience supporting training, quality review, or process improvement. Preferred

Responsibilities

• This position serves as a senior specialist responsible for resolving the most complex claim issues, denials, and payer escalations.
• Representative III acts as a subject matter expert, supports training and quality initiatives, and partners with leadership to improve processes and payer performance.

Skills

Denial management

Training support

Process improvement

Payer rules knowledge

Education

GED

Tools

Epic

Job description

Responsibilities:

This position serves as a senior specialist responsible for resolving the most complex claim issues, denials, and payer escalations. This role requires advanced knowledge of payer rules, regulatory requirements, and audit ready documentation. Representative III acts as a subject matter expert, supports training and quality initiatives, and partners with leadership to improve processes and payer performance.

Qualifications:

Education

• H.S. Diploma or General Education Degree (GED) Required

Work Experience

• 3 years of progressively responsible experience in hospital billing, follow up, denial management, or related revenue cycle functions. Required
• Experience with complex payer types (Medicare Advantage, Medicaid Managed Care, Workers' Compensation, TPL, MSP). Preferred
• Advanced Epic proficiency. Preferred
• Experience supporting training, quality review, or process improvement. Preferred

Business Unit : Company Name:

Piedmont Healthcare Corporate