Revenue Cycle Specialist I

Nemadji•Bruno, MN

13d

About The Position

Job Summary: Do you have experience working in hospital registration, billing and/or accounting systems? Do you have a strong knowledge of claim denial management, medical terminology, and patient health records? If this sounds like you, Nemadji wants you to join our team of dedicated individuals working hard to make a difference for healthcare facilities and the patients they serve! The Revenue Cycle Specialist is responsible for advanced account verification, eligibility inquiries, obtaining proof of coverage and authorizations from payers and billing claims.

Requirements

High School Diploma
A minimum of 2 years' experience in medical billing and working claim denials.

Nice To Haves

Proficient in working with Windows operating systems including Microsoft Office applications such as Word, Excel, and Outlook.
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.
Ability to work independently and with a team in a fast-paced and high-volume environment with an emphasis on accuracy and timeliness.

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 initiate claim submission. Monitor account activity for payment or denial.
Perform follow up on denied or underpaid claims.