Revenue Cycle Management Specialist

LifeMD•New York, NY

2d•$55,000 - $65,000

About The Position

The Revenue Cycle Management Specialist will be responsible for the day-to-day monitoring of billing operations, including coding, charge entry, claims filing, and payer & patient accounts receivable follow-up, denials, and payment posting. The Specialist will work to resolve issues to maximize collections and enhance patient satisfaction.

Requirements

Bachelor’s degree in business administration, healthcare administration, or a related field, or equivalent experience
3+ years of experience in medical billing, coding, denial management and reimbursement
1+ years of experience with Medicare, especially telehealth
Proven experience in payment posting, working denials, and accounts receivable follow-up
Strong understanding of healthcare billing, coding, and collections processes
Certified Professional Coder (CPC) via AAPC or CCS, CCS-P or CCA via AHIMA
Proficiency with revenue cycle management software such as Availity, commercial and Medicare payer portals and Google Suite

Nice To Haves

Excellent analytical skills with the ability to interpret and act on complex data
High level of proven communication skills, including written and verbal
Ability to work in a fast-paced, dynamic growth environment
Creative problem solver and team player who thrives in a collaborative environment
Fantastic organizational and time management skills with a high attention to detail

Responsibilities

Monitor the day-to-day flow of recorded visits, coding, charge entry, and claims filing
Perform payer accounts receivable follow-up, work denials, and handle patient collections
Process and post payments to patient accounts
Troubleshoot and resolve billing issues to maximize collections
Communicate with patients when it pertains to insurance, billing or patient account related questions
Collaborate with the Revenue Cycle Manager, Finance team and other departments to ensure smooth revenue cycle operations
Ensure compliance with current healthcare regulations and standards, including HIPAA, Medicare, and Medicaid requirements
Stay up-to-date with industry trends and changes in regulations
Assist in creating and monitoring effective revenue cycle KPIs and standardized reporting
Perform other duties as assigned to support LifeMDs mission and values