Bilingual Revenue Cycle Specialist II - Medical Billing / Collections - Mon at NGHS

, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jul, 26

Salary

0.0

Posted On

19 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Collections, Revenue Cycle Management, Claims Resolution, Denial Management, Payer Policies, Patient Accounting Systems, Problem-solving, Customer Service, Communication, Data Entry, Documentation, Analytics, Insurance Billing, Authorization

Industry

Hospitals and Health Care

Description

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Rev Cycle Specialist II handles complex account follow-up, denials, and claims resolution, working more independently and applying advanced knowledge of payer rules and billing systems. Minimum Job Qualifications Licensure or other certifications: GA HMFA Certified Patient Account Representative (CPAR) Certification (or must obtain with 6 months of hire) Educational Requirements: High School Diploma or GED Minimum Experience: Minimum 3 years hospital or professional billing/collections experience. Other: Strong understanding of payer policies, explanation of benefits interpretation, and patient accounting systems. Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Solid knowledge of Revenue Cycle functions, including registration, authorization, and insurance billing. Personal computer proficiency to include all programs necessary to perform job duties and ability to toggle between systems efficiently. Excellent listening and problem-solving skills with attention to details. Excellent customer service skills and ability to remain calm and professional in stressful situations. Excellent verbal and written communication skills. Ability to work independently within guidelines. Essential Tasks and Responsibilities Review, resubmit, and follow up on complex insurance claims. Perform detailed account research and update account information accurately. Resolve denials and ensure adherence to payer contract requirements. Maintain work queues and ensure timely resolution of accounts. Provide support to teammates and cross-train in additional revenue cycle functions. Demonstrate strong documentation, analytics, professionalism, and customer service. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Occasionally 0-30% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Occasionally 0-30% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Frequently 31-65% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status. Northeast Georgia Health System (NGHS) is a non-profit on a mission of improving the health of our community in all we do. Our team cares for more than 1 million people across the region through five hospitals and a variety of outpatient locations. Northeast Georgia Medical Center (NGMC) has campuses in Gainesville, Braselton, Winder, Dahlonega and Demorest – with a total of more than 850 beds and more than 1,200 medical staff members representing more than 60 specialties. Learn more at www.nghs.com.

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Responsibilities

The specialist handles complex account follow-up, resolves insurance claim denials, and ensures adherence to payer contract requirements. They are responsible for maintaining work queues, updating account information, and providing support to teammates across revenue cycle functions.