Senior Patient Billing Specialist - Denials & Payer Mastery

Piedmont Healthcare, Inc.; Atlanta (GA); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Piedmont Healthcare, Inc. is seeking a Senior Specialist in Atlanta to resolve the most complex claim issues, denials, and payer escalations. The role requires advanced knowledge of payer rules and audit-ready documentation.

The position supports training, quality initiatives, and partners with leadership to improve processes and payer performance within a hospital revenue cycle environment.

Competenze

• 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

Mansioni

• This position serves as a senior specialist responsible for resolving the most complex claim issues, denials, and payer escalations.
• Representative III acts as a subject matter expert, supports training and quality initiatives, and partners with leadership to improve processes and payer performance.

Conoscenze

Denial management

Training support

Process improvement

Payer rules knowledge

Formazione

GED

Strumenti

Epic

Descrizione del lavoro

Piedmont Healthcare, Inc. is seeking a Senior Specialist in Atlanta to resolve the most complex claim issues, denials, and payer escalations. The role requires advanced knowledge of payer rules and audit-ready documentation.

The position supports training, quality initiatives, and partners with leadership to improve processes and payer performance within a hospital revenue cycle environment.