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Revenue Cycle Specialist II, EPIC EHR
Northeast Georgia Health SystemRevenue Cycle Specialist resolving complex claims and denials for Northeast Georgia Health System. Researching accounts, updating billing records, and maintaining revenue cycle work queues.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in complex account follow-up, claims resolution, and revenue cycle functions, with a strong focus on payer policies and patient accounting systems. Proficient in documentation, analytics, and customer service, ensuring timely and accurate account management.
Highest-signal resume keywords
GA HMFA Certified Patient Account Representative (CPAR) Certification3 Years Hospital Billing/Collections ExperienceUnderstanding of Payer PoliciesExperience with Patient Accounting SystemsKnowledge of Revenue Cycle Functions
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResolutionAccount ResearchInsurance BillingDenial ManagementDocumentationAnalyticsAttention to DetailProblem-SolvingCustomer Service
Soft Skills
Excellent Verbal CommunicationExcellent Written CommunicationAbility to Work IndependentlyCalm Under PressureTeam Support
Tools & Technologies
Patient Accounting SystemsPersonal Computer Proficiency
Certifications & Qualifications
GA HMFA Certified Patient Account Representative (CPAR) CertificationHigh School Diploma or GED
Industry Keywords
Revenue Cycle FunctionsPayer Contract RequirementsExplanation of Benefits InterpretationHospital BillingProfessional Billing
About the role
Key responsibilities & impact- Handle complex account follow-up, denials, and claims resolution
- Review, resubmit, and follow up on complex insurance claims
- Perform detailed account research and accurately update account information
- Resolve denials and ensure adherence to payer contract requirements
- Maintain work queues and ensure timely account resolution
- Provide support to teammates and cross-train in additional revenue cycle functions
- Demonstrate strong documentation, analytics, professionalism, and customer service
Requirements
What you’ll need- GA HMFA Certified Patient Account Representative (CPAR) Certification, or must obtain within 6 months of hire
- High School Diploma or GED
- Minimum 3 years hospital or professional billing/collections experience
- Strong understanding of payer policies
- Explanation of benefits interpretation
- Experience with patient accounting systems
- Solid knowledge of revenue cycle functions, including registration, authorization, and insurance billing
- Personal computer proficiency with all programs necessary to perform job duties
- Ability to toggle between systems efficiently
- Excellent listening and problem-solving skills with attention to detail
- 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
Benefits
Comp & perks- Equal Opportunity Employer
- Investment in employees and support for reaching personal and professional goals