Revenue Cycle Specialist I

Nemadji•Bruno, MN

5d•Onsite

About The Position

The Revenue Cycle Specialist is responsible for advanced account verification, eligibility inquiries, obtaining proof of coverage and authorizations from payers and billing claims. This role requires a strong knowledge of claim denial management, medical terminology, and patient health records. The ideal candidate will have experience working in hospital registration, billing and/or accounting systems.

Requirements

High School Diploma
A minimum of 2 years' experience in medical billing and working claim denials.
Proficient in working with Windows operating systems including Microsoft Office applications such as Word, Excel, and Outlook.
Ability to work independently and with a team in a fast-paced and high-volume environment with an emphasis on accuracy and timeliness.
Solid understanding of medical billing rules and practices, including coordination of benefits along with the knowledge of and ability to work with hospital registration, billing and/or accounting systems.
Professional certification, such as CRCS-I or CPAR or equivalent.

Responsibilities

Perform advanced verification of account statuses to determine appropriateness for billing.
Request and obtain documentation of patient’s coverage via phone calls, web inquiries, and written requests.
Perform data entry for selected project functions and communicate effectively with external entities such as payers, Social Security, etc.
Add coverage to client systems and initiates claim submission, monitor account activity for payment or denial and perform follow up on denied or underpaid claims.

Benefits

401k Retirement Savings Plan
401k Company Match
Incredibly Generous Monthly HSA Contributions (nearly pays for annual deductible)
80% Employer-Paid Medical Premiums
Free Dental, Life, Long & Short-Term Disability Insurance
Vision Insurance
10 Paid Holidays
Generous PTO (Earn 3 weeks within the first year - increases with service years)
Generous Employee Recognition Programs
Company Sponsored Events
Paid Volunteer Hours (8hrs per year)
Casual Work Environment
Employee Assistance Program (EAP)
Excellent Work/Life Balance
Education Reimbursement Program