Senior Patient Account & Denials Specialist

Piedmont Healthcare; Atlanta (GA); On-site; USD 42,000 - 66,000; Full time

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

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.