• Own and optimize all aspects of the revenue cycle, including billing operations, claims management, collections, and payer performance. • Lead and manage the Billing department, ensuring accuracy, efficiency, and accountability across all billing and collections operations. • Build a culture of performance, ownership, and continuous improvement within the team. • Oversee claims submission, payment posting, denials, and collections. • Maintain best-in-class metrics for denial rates, first-pass resolution, and Days in A/R. • Design and maintain automated KPI dashboards for real-time visibility into team performance. • Implement targeted strategies to reduce insurance A/R over 120 days. • Monitor reimbursement trends and payer performance. • Identify opportunities to increase reimbursement per session and overall yield. • Identify and implement automation and technology solutions (e.g., RPA, AI-driven denial analysis, workflow automation). • Partner with internal teams and vendors to deploy new tools and systems. • Redesign workflows to improve speed, accuracy, and scalability. • Act as primary point of contact for payer relationships and escalations. • Provide regular performance and financial impact reports to the CEO and Finance leadership. • Collaborate closely with Clinical, Operations, and Executive teams.

• Lead and manage the Billing department, ensuring accuracy, efficiency, and accountability across all billing and collections operations • Build a culture of performance, ownership, and continuous improvement within the team • Oversee claims submission, payment posting, denials, and collections • Maintain best-in-class metrics for denial rates, first-pass resolution, and Days in A/R • Design and maintain automated KPI dashboards for real-time visibility into team performance • Implement targeted strategies to reduce insurance A/R over 120 days • Monitor reimbursement trends and payer performance • Strategically manage payer mix to reduce dependency on any single payer • Identify opportunities to increase reimbursement per session and overall yield • Identify and implement automation and technology solutions (e.g., RPA, AI-driven denial analysis, workflow automation) • Partner with internal teams and vendors to deploy new tools and systems • Redesign workflows to improve speed, accuracy, and scalability • Design onboarding and continuous training programs for billing staff • Act as primary point of contact for payer relationships and escalations • Provide regular performance and financial impact reports to the CEO and Finance leadership

Role Description Generating, reviewing and transmitting claims for hospital-based services to third-party payors. Collaborating across Revenue Cycle departments to ensure billing edits and other up-front billing-related issues are resolved completely and efficiently. The Billing Representative reports to the Manager of Hospital Billing. Qualifications - H.S. Diploma or General Education Degree (GED) - Required - 1 year of previous related healthcare Revenue Cycle experience, preferably with a focus in billing - Required - 2 years of previous related healthcare Revenue Cycle experience, preferably with a focus in billing - Preferred - Prior Epic experience - Preferred Company Description Piedmont Healthcare Corporate

• Accurately identify billed medical services to determine acceptance or denial • Identify complex bills and forward to Claims Adjuster • File maintenance – clean up as necessary • Processing medical payments as well as disability payments to injured contractors-print checks timely • Attach proper documentation for checks issuance and approval • Track mailing number if expedited for special checks and items • Deductible tracking • Coordination of benefits • Work the Billing-Unresolved document queue as assigned • Perform special projects as needed • Perform assignments from Billing Supervisor • Audit file payments as requested • Upload emails, faxes and mail following established protocol • Label items in claim files following established protocols • Take on additional tasks from Billing Supervisor as needed • Ask for additional work when caught up • Assists Claim Adjusters through Billing Supervisor direction • Watch for Special Instruction Banners • Policy Expiration • Secondary status versus primary status • Previously paid • Duplicates and medical bill coding reviews • Items needing support • Auditing