Revenue Cycle Specialist

The Revenue Cycle Specialist is a vital aspect of our billing team who is responsible for daily billing/submissions of claims correcting and monitoring rejections third-party follow-up and reviewing payments posted among other duties. Essential to this position is the ability to communicate clearly and concisely verbally and in writing establish and maintain long-term customer relationships building trust and respect by consistently meeting and exceeding expectations.

• Validate all pertinent treatment information in order to submit accurate claims.

• Ensure all patient demographics and payer information are accurate 

• Submit all claims to clearing house and work rejections as needed.

• Communicates directly with the payor resubmits denied claims underpaid claims and claims that are inaccurately processed. Receives the denied claims and researches appropriate steps.

• Run reconciliation to ensure completion of open tasks. 

• Prepares posts verifies and records customer payments and transactions

• Identifies delinquent accounts by reviewing files and reports delinquent account holders.

• Review posted payments for reimbursement according to contract and accuracy

• Provide effective communication to patient/family team members and other health care professionals and maintain confidentiality.

• Review payer contracts to ensure billing and reimbursement compliance and accuracy

• Ensure that all patient accounts are properly and completely documented

• Assists the Accounting Department in reconciling revenue accounts.

• Collaborates with necessary departments in order to drive process improvement 

• Relays changes of information to appropriate employees and leaders.

• Investigate and resolve customer queries

Qualifications :

• Education: Associates or Bachelors degree in Accounting preferred.
• Experience: A minimum of 2 years in revenue cycle claims or medical billing preferred
• Excellent communication organization attention to detail and problem solving skills.
• Proficient in Google Workspace as well as other accounting software programs.
• Detailed understanding of healthcare insurance processes including resolving non-paid denied underpaid and rejected claims.
• Ability to work independently and in a fast-paced environment.
• Ability to anticipate work needs and interact professionally with employees and leaders.      
• Excellent organizational skills and attention to detail. 
• Demonstrate excellent problem-solving and negotiating skills.
• Ability to sustain prolonged sitting and extended computer use.  Requires hand-eye coordination and manual dexterity.
   

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Remote Work :

No

Employment Type :

Full-time