Revenue Cycle Rep II - Claim Edits

At Piedmont Healthcare, we believe that providing exceptional healthcare begins with a strong and efficient revenue cycle team. As a Revenue Cycle Representative II for Claim Edits, you will play a crucial role in ensuring the accuracy and timeliness of our claims processing. We are seeking a highly organized and detail-oriented individual who is passionate about healthcare and dedicated to delivering top-notch revenue cycle services. Join our team and make a difference in the lives of our patients.

1. Accurately review, research, and resolve claim edits in a timely manner to ensure proper billing and reimbursement for Piedmont Healthcare.
2. Collaborate with other revenue cycle team members to identify and resolve claim edit issues and prevent future occurrences.
3. Utilize various systems and tools to track and manage claim edits, ensuring all necessary information is accurately documented and processed.
4. Communicate and coordinate with insurance companies, providers, and internal departments to obtain necessary information and resolve claim edit discrepancies.
5. Stay up-to-date on industry changes and regulations related to revenue cycle and claim edits, and apply this knowledge to daily tasks and processes.
6. Identify opportunities for process improvement and efficiency within the revenue cycle team and work with management to implement changes.
7. Ensure compliance with all legal and regulatory requirements related to claim edit processing, including HIPAA guidelines.
8. Maintain a high level of accuracy and attention to detail in all aspects of claim edit processing.
9. Provide exceptional customer service to patients, insurance companies, and other stakeholders, responding to inquiries and concerns in a timely and professional manner.
10. Participate in training and development opportunities to continuously improve and expand knowledge and skills related to revenue cycle and claim edits.
11. Work closely with billing and coding teams to ensure proper coding and documentation for accurate claim submissions.
12. Serve as a resource and mentor to other revenue cycle representatives, sharing knowledge and best practices to improve overall team performance.
13. Adhere to Piedmont Healthcare's mission, values, and policies, promoting a positive and collaborative work environment.

According to JobzMall, the average salary range for a Revenue Cycle Rep II - Claim Edits in Atlanta, GA, USA is between $47,000 to $60,000 per year. However, this can vary depending on factors such as the specific company, years of experience, and individual qualifications.

A private, not-for-profit organization with 800 locations serving 2.5 million patients across Georgia, Piedmont is transforming healthcare, creating a destination known for the best clinicians and a one-of-a-kind experience that always puts patients first. Today, more than 110 years since it was founded, Piedmont is known as a leading health system in treatment of heart disease, organ transplantation and cancer care with 11 hospitals, 27 urgent care centers, 28 Piedmont QuickCare locations, 555 Piedmont Clinic physician practice locations and more than 2,300 Piedmont Clinic members.