Senior Revenue Cycle Specialist - Billing & Denials

Piedmont Healthcare, Inc.; Atlanta (GA); On-site; USD 60,000 - 85,000; Full time

Job summary

Piedmont Healthcare Corporate is seeking a Revenue Cycle Representative III to manage advanced physician billing responsibilities across the life cycle of patient accounts. The role emphasizes accuracy, customer service, and adherence to Piedmont values while maintaining productivity and audit quality above standard.

The Rep III performs core revenue cycle duties—billing, claims filing, data entry, insurance follow-up, denial management, and payment posting—with potential for advanced functions

Qualifications

• 5+ years in physician billing revenue cycle or Central Business Office.
• Advanced knowledge of third-party insurance plan types (HMO, PPO, POS, Indemnity).
• Strong knowledge of Medicare CPT/ICD9 coding and fraud regulations.

Responsibilities

• Billing and claims filing.
• Data entry and charge entry.
• Insurance follow-up and self-pay follow-up.
• Denial management and payment posting.
• Refund management and credit balance management.
• Customer service advocacy and response to patient inquiries.

Skills

Advanced Revenue Cycle knowledge

Customer Service

Financial counseling

HIPAA compliance

CPT/ICD9 coding

Education

High School diploma or GED

Tools

Practice Management System

Microsoft Office

Job description

Piedmont Healthcare Corporate is seeking a Revenue Cycle Representative III to manage advanced physician billing responsibilities across the life cycle of patient accounts. The role emphasizes accuracy, customer service, and adherence to Piedmont values while maintaining productivity and audit quality above standard.

The Rep III performs core revenue cycle duties—billing, claims filing, data entry, insurance follow-up, denial management, and payment posting—with potential for advanced functions