Revenue Cycle Representative III (Fully Remote)

Piedmont Healthcare Corporate; United States; Remote; USD 65,000 - 100,000; Full time

Job summary

Piedmont Healthcare Corporate in the United States is seeking a billing specialist to handle all aspects of the physician billing revenue cycle, including billing, claims filing, data entry, and insurance follow-up.

The role involves denial management, payment posting, refunds, and account corrections with a focus on patient-centered service. This remote position is based in Atlanta, GA.

Qualifications

• High school diploma or GED required.
• Minimum of 5 years advanced experience in physician billing revenue cycle or central business office.
• Advanced knowledge of third-party insurance plans (HMO, PPO, POS, Indemnity) and Medicare program.

Responsibilities

• Handle all aspects of physician billing revenue cycle including billing, claims filing, data entry, and insurance follow-up.
• Manage denial management, payment posting, refunds, credit balances, and account corrections.
• Perform advanced functions such as system support, claims edit management, and front end management.

Skills

HIPAA regulations & Medicare fraud/ab

Practice management systems

Microsoft Office & internet tools

Customer service & patient financials

Education

High school diploma or GED

Tools

Practice management systems

Microsoft Office

Job description

• Handle all aspects of physician billing revenue cycle including billing, claims filing, data entry, and insurance follow-up.
• Manage denial management, payment posting, refunds, credit balances, and account corrections.
• Perform advanced functions such as system support, claims edit management, and front end management.

Qualifications:

• High school diploma or GED required.
• Minimum of 5 years advanced experience in physician billing revenue cycle or central business office.
• Advanced knowledge of third-party insurance plans (HMO, PPO, POS, Indemnity) and Medicare program.

Skills Required:

• Thorough knowledge of HIPAA regulations and Medicare fraud/abuse regulations.
• Proficiency with practice management systems, Microsoft Office, and internet products.
• Ability to counsel patients financially and resolve problems with high customer service skills.
• Remote position based in Atlanta, GA.
• Collaborative culture focused on patient-centered care and department excellence.
• Performance measured against Piedmont Healthcare's values of compassion, commitment, service, excellence, and balance.

Piedmont Healthcare is a healthcare organization dedicated to patient-centered care and medical services. They emphasize values of compassion, commitment, service, excellence, and balance, fostering a culture of high performance and teamwork.