Revenue Cycle Specialist I

Community Health Center of Central Wyoming•Casper, WY

About The Position

Review and submit medical encounters to insurance companies for payment. Work directly with the provider, insurance company, and/or the patient to have claims processed and paid in a timely manner. Answer billing questions and inquiries from patients and/or providers. This position requires great attention to detail, the ability to multi-task, prioritize, and possess excellent customer service skills.

Requirements

High school diploma or equivalent and 0-3 years of medical billing and coding experience.

Responsibilities

Review all open tickets assigned to a patient and/or insurance group to ensure they are ready for insurance submittal daily
Query providers when code assignments are unclear, or documentation is inadequate or incomplete
Submit secondary billing in a timely manner with all supporting documentation
Review, work, and/or appeal any denied or unpaid claims
Accurately post insurance and patient payments to appropriate accounts
Handle collections and unpaid accounts by establishing payment arrangements with patients
Resolves patient inquiries and issues regarding billing or collections (In-person visits and phone calls)
Run, work, and manage an assigned patient and/or insurance group A/R report
Run, work, and manage an assigned patient and/or insurance group Credit Report
Identify and analyze any billing issues and/or trends; communicate to the appropriate personnel
Contact insurance companies when necessary
Maintain knowledge of insurance policies and guidelines
Learn and/or maintain current knowledge and guidelines of various code sets
Gain coding/billing certifications
Perform all other duties as assigned by the supervisor