Revenue Cycle Denials & Appeals Specialist

Phoebe Sumter Medical Center; Albany (GA); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Phoebe North Campus in Albany, GA is seeking a Denials Specialist to manage denial accounts and drive resolution through disputes and appeals within the patient accounting revenue cycle.

The role requires 2–3 years in patient accounting and 5+ years in revenue cycle, with CPAR certification to be obtained within 20 months of hire. This is a full-time, first-shift on-site position within the PPMH Patient Accounting department.

Qualifications

• 2–3 years in patient accounting within the revenue cycle required.
• 5+ years in revenue cycle with focus on denial management preferred.
• CPAR certification must be obtained within 20 months of hire.

Responsibilities

• Processes and monitors follow up on denial accounts including disputes and appeals.
• Interfaces with insurance payors, governmental payors, and state agencies.
• Ensures compliance with HIPAA, ERISA and related regulations.

Skills

Denials follow-up

Disputes & appeals

Revenue cycle understanding

Education

Associate degree in Business Administration or related field

5+ years Revenue Cycle experience in patient accounting

CPAR Certification

Job description

Phoebe North Campus in Albany, GA is seeking a Denials Specialist to manage denial accounts and drive resolution through disputes and appeals within the patient accounting revenue cycle.

The role requires 2–3 years in patient accounting and 5+ years in revenue cycle, with CPAR certification to be obtained within 20 months of hire. This is a full-time, first-shift on-site position within the PPMH Patient Accounting department.