Job Number:

33085

Location:

Phoebe North Campus

Street Address:

2000 Palmyra Rd

City, State:

Albany, Georgia

Zip Code:

31701

Department:

PPHS REVENUE CYCLE

Shift:

Days

Job Type:

Full time

Posted Date:

2025-11-20

Job Description Summary:

A Denial Specialists focus is identifying, analyzing, and resolving insurance claim denials to ensure timely and appropriate reimbursement. This role involves reviewing denied claims, researching the reasons for denial, and developing strategies to appeal or correct the issues, often including writing appeal letters and coordinating with payers.

Description:

 JOB SUMMARY

Processes and monitors follow up on denial accounts including disputes, appeals and grievances with insurance payors, governmental payors and state agencies.  All activities will be performed in support of the strategy, vision and values of Phoebe.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.  All activities must be in compliance with Equal Employment Opportunity laws. HIPAA, ERISA and other regulations, as appropriate.

EDUCATION REQUIREMENTS

2 year / Associate Degree in Business Administration or closely related field, in lieu of an Associates Degree a minimum of 5 years experience in Revenue Cycle with experience in patient accounting.

EXPERIENCE REQUIREMENTS

2 - 3 years in Patient accounting functions of the revenue cycle (Required)

5+ years Revenue Cycle Experience with concentration in Patient Accounting to include billing, follow up, denials and denial recovery (Preferred)

CERTIFICATIONS AND LICENSURES

Required Certifications/Licensures: CPAR Certification must be obtained within 20 months of hire