Revenue Cycle Billing & Collections Specialist

Atlanta Women's Healthcare Specialists; Atlanta (GA); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Atlanta Women's Healthcare Specialists is seeking dedicated professionals for dual roles in Insurance Follow-Up and Patient Collections Specialist. This hybrid position blends revenue cycle duties such as insurance follow‑up, claim resolution, patient collections, and payment reconciliation to ensure accurate, timely account resolution.

The ideal candidate will have billing experience, payer knowledge, and strong customer service skills, reporting to the Billing Manager and collaborating with

Qualifications

• High school diploma or GED required; associate’s degree or higher preferred.
• 2-3 years of experience in a physician billing revenue cycle or central business office setting.
• Experience in patient collections and understanding payer types and EOBs.
• Preferred CPAR certification.

Responsibilities

• Perform daily insurance follow-up, including claim filing, denials management, appeals, and recoupment requests.
• Periodic report reconciliation to identify underpayments or other claims variances.
• Sending correspondence to patients.
• Proactively resolve claims edits, rejections, and corrected claims submissions.
• Handle inbound patient collection calls with professionalism and empathy, responding to inquiries promptly.
• Collect patient balances, establish repayment plans, and process payments accurately.
• Batch, send, and manage patient statements (electronic and paper) while addressing returned mail.
• Collaborate with internal teams, including coders and payment posters, to reconcile accounts and ensure accuracy.
• Maintain documentation for accounts placed with collection agencies and handle bankruptcy notices.
• Provide financial counseling to patients, explaining outstanding charges and resolving issues with a high standard of customer service.
• Stay updated on insurance payer trends, medical billing practices, and reimbursement methodologies.
• Payment Posting, Refund Requests or Posting.
• Maintaining daily reconciliation reports with payment posting.
• Refunding or requesting refunds for patients or insurers when applicable.
• Ensure compliance with revenue cycle policies and confidentiality standards.
• Maintain proficiency in EMR, Epic.
• Contributes to team success by performing other related duties as needed.

Skills

Billing and claims expertise

Customer service

EMR systems familiarity

Analytical skills

Communication skills

Team collaboration

Education

High school diploma or GED

Associate degree or higher preferred

CPAR certification (preferred)

Tools

Epic EMR

Microsoft Office

Job description

Atlanta Women's Healthcare Specialists is seeking dedicated professionals for dual roles in Insurance Follow-Up and Patient Collections Specialist. This hybrid position blends revenue cycle duties such as insurance follow‑up, claim resolution, patient collections, and payment reconciliation to ensure accurate, timely account resolution.

The ideal candidate will have billing experience, payer knowledge, and strong customer service skills, reporting to the Billing Manager and collaborating with