Patient Account Rep III

Piedmont Healthcare

Atlanta (GA)

On-site

USD 42,000 - 66,000

Full time

5 days ago
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Job summary

Piedmont Healthcare is seeking a Patient Account Representative III in Atlanta, GA. The role focuses on resolving the most complex claim issues, denials, and payer escalations, leveraging advanced knowledge of payer rules and regulatory requirements.

The candidate will act as a subject matter expert and collaborate with leadership to improve processes and payer performance. Education requires a GED, with 3 years of hospital billing or related revenue cycle experience.

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.

Education

GED

Tools

Epic

Job description

STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application.

Patient Account Rep III
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

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