Revenue Cycle Specialist

CardioOne•Denver, CO

21d•$20 - $24•Remote

About The Position

We are seeking a detail-oriented Revenue Cycle Specialist to join our growing team! The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services. We seek an organized critical thinker with billing knowledge and who is comfortable working with providers, insurance companies, and in a fast-paced environment. This role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth.

Requirements

3+ years experience in the industry required
Strong understanding of Insurance products and claim processing
Knowledge of claim formatting and transmission guidelines
Detailed understanding of EOB/ERA data and impact on financial responsibility.
A passion and proficiency for patient advocacy.
Knowledge of ICD-10 and CPT codes, and modifiers
Experience with medical office procedures and medical collections
Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top)
Strong attention to detail and accuracy in data entry
Intermediate knowledge of Microsoft Word and Excel
Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers

Nice To Haves

High school diploma or GED preferred
Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes
Certified Professional Coder preferred

Responsibilities

Ensure that insurance information is entered correctly for successful claim submission and payment.
Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file.
Work in multiple computer systems to obtain and organize information to support billing
Resolve claims that require pre-bill resolution
Resolve payment denials
Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds
Conduct reconciliation processes, ensuring no charge goes uncaptured
Manage communications between practice and vendor staff and organizations
Reports status of various revenue cycle metrics and escalates issues for resolution.
Assists in preparation of reports to share with payers when discrepancies are uncovered.