Insurance Specialist - CPAR Required - 8 AM - 4:30 PM Eastern

Job Category: Revenue Cycle 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 The Insurance Specialist serves as a key contact for patient questions related to insurance claims, denials, coding, re-determinations, attorney settlements, and retro authorizations. The Insurance Specialist handles resolving credit balances and pay discrepancies, reviewing prior billing activity and correcting errors. The Insurance Specialist serves as a subject matter expert on payer guidelines, focusing on underpayment recovery, aged denial resolution, and supporting claim adjudication. Minimum Job Qualifications Licensure or other certifications: Certified Patient Account Representative (CPAR) and Certified Professional Biller (CPB) or Certified Professional Coder (CPC). CPB or CPC can be obtained within one year of hire. Educational Requirements: High School Diploma or GED. Minimum Experience: Minimum 3 years of medical billing and/or medical coding experience. ​ Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Other: Job Specific and Unique Knowledge, Skills and Abilities Knowledge of Revenue Cycle functions, including registration, coding/charge posting, payment posting, and financial assistance. Thorough knowledge of patient collections, billing regulations (governmental and com