Revenue Cycle Specialist
Overview
This role involves working as a Revenue Cycle Specialist responsible for accurate and timely processing of claims and patient accounts to ensure maximum reimbursement. The position requires collaboration with teams across the revenue cycle, admissions, utilization review, and compliance to maintain effective revenue cycle processes.
Responsibilities
- Submit patient demographic and insurance information accurately and promptly.
- Verify patient eligibility and benefits, including reverification as needed.
- Submit clean claims electronically and via mail to payers.
- Manage relationships with various insurance payers.
- Follow up on denied and rejected claims to ensure timely resolution.
- Monitor patient accounts receivable and pursue outstanding balances to reduce delinquency.
- Identify opportunities to improve billing processes and denial resolution.
- Respond to patient inquiries regarding billing and insurance.
- Maintain accurate and up-to-date records of all claims and patient accounts.
- Perform other duties as assigned.
Requirements
- High School Diploma or GED required; Bachelor's degree in business or related field (statistics, computer science, analytics) preferred.
- Minimum of three (3) years of experience in revenue cycle roles focusing on benefit verification, billing, and accounts receivable follow-up.
- Experience with CPT and ICD-10 coding and familiarity with medical terminology.
Compensation & Benefits
- Full-time remote position.
- Comprehensive benefits package.
- Competitive compensation.
Equal Opportunity
The employer provides equal employment opportunities to all employees and applicants without discrimination based on race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other protected characteristic. Reasonable accommodations are available for applicants with disabilities during the application and hiring process.