Revenue Cycle Specialist
Revenue Cycle Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Responsibilities
The Revenue Cycle Specialist will be responsible for the review analysis trending followup and resolution of thirdparty claims reimbursements including the identification billing and collection of payments. The Revenue Cycle Specialist will actively engage with other departments to ensure timely resolution of all outstanding accounts to ensure maximum reimbursement.
- Knowledge of thirdparty claims reimbursement practices.
- Verify patient data required for billing
- Advanced knowledge of payer contracts payment policies regulations to ensure correct payment of claims.
- Thorough knowledge of complex insurance correspondences to include explanation of benefits remittance advices and denial letters.
- Advanced understanding and ability to navigate payer websites and vendor applicable systems to verify insurance benefits understanding insurance payments denials and correspondences.
- Maintain established quality assurance and productivity benchmarks while utilizing best practice standards established.
- Accurately update accounts in all systems to reflect work being performed.
- Communicate identified payment trends to leadership promptly and accurately and provide solutions to resolve challenges and issues.
- Complete documentation and record requests
- Interact directly with patients regarding billing questions and payments
- Other duties as assigned
Education and Experience:
Familiarity with medical records and attorney requests a plus
35 years of medical billing knowledge required; anesthesia billing experience preferred
Attention to detail and accuracy is a must
Proficient MS Office skills Intermediate excel skills
Excellent written communications and organizational skills
Outstanding telephone and people skills
Solid organization skills and ability to work independently
Flexible mentality; willing and capable of performing varied tasks and adapting to change
Able to work in a team environment
Professionally exercises discretion and independent judgment in daytoday work
High school diploma or equivalent
Physical Requirements:
- The ability to sit and stand for long periods of time
- Must be able to reach grasp feel and see up close and from afar
- Must be able to use basic office computer hardware and peripherals with or without reasonable accommodation
Job Types: Fulltime
Schedule:
- Day shift
- Monday to Friday
Work Location:
- One location
Work Remotely:
- No
Required Experience:
Unclear Seniority
Employment Type
Full-Time
