Revenue Cycle Specialist

Center for Neurosciences • Tucson, AZ

4d • Onsite

About The Position

A nonexempt position responsible for coordinating, verifying, distributing, and managing all accounts receivable services.

Requirements

• High school diploma or equivalent. Some college preferred.
• Minimum two years of recent accounts receivable experience or any equivalent combination of experience, training and/or education approved by the Practice Manager.
• Knowledge of billing practices and medical office policies and procedures.
• Knowledge of medical coding (CPT and ICD-10), clinic operating policies and third-party operating procedures and practices.
• Knowledge of legal and regulatory government provisions.
• Knowledge of HIPAA Privacy and Security rules.
• Skill in establishing and maintaining effective internal and external working relationships.
• Skill in verbal and written communication with patients and insurances.
• Skill in accuracy and detail with respect to demographics data and figures.

Responsibilities

• Informs Practice Manager of denial trends
• Work on denial projects as needed
• Work denied claims as individually assigned per insurance carrier
• Address, correct, and resubmit any rejected charges.
• Drafting and submitting medical appeals
• Follow adjudication policies and procedures to ensure proper payment of claims.
• Follow up on pending and unpaid claims in a timely manner, preventing timely filing denials.
• Answering all patient, physician, or employee inquiries related to insurance or financial overview via telephone, Klara, or patient portal.
• Ensure accurate documentation of follow-up on each account
• Accept and post patient payments via Tucson ENT website, or phone
• Create patient payment arrangements
• Review EOBs for accuracy of payments
• Maintains required billing records, reports, files, etc., according to protocol.
• Creates and processes patient refund accounts as needed
• Identifies and documents bankruptcy and collection notices
• Balance front desk daily deposits
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees