Revenue Cycle Specialist

Hunter Health • Wichita, KS

8d

About The Position

The Revenue Cycle Specialist works with insurance companies and patients to promote the growth of patient service revenue. The role reviews medical, radiology, obstetrics, dental, and vision claims to maintain accurate patient account records and accounts receivable. The Specialist follows established federal, state, and clinic standards and complies with applicable federal grant requirements and Hunter Health Clinic policies and procedures.

This is a full-time position with a Monday–Friday, 40-hour workweek. Travel may be needed to meet operational needs.

Requirements

• High school diploma or GED.
• Knowledge of Medicare, Medicaid, private payer, workers’ compensation, and third-party liability rules for accurate billing.
• Current working knowledge of ICD-9 coding.
• Ability to perform the job’s communication, organizational, multitasking, judgment, collaboration, accuracy, time-management, and teamwork functions.
• Ability to speak clearly and effectively, hear average conversations, sit, stand, walk, use hands and fingers for handling and typing, and focus visually, including close and color vision and adjustment of focus.
• Ability to occasionally lift and/or move up to 10 pounds.
• Ability to add and subtract two-digit numbers and multiply and divide with 10s and 100s.

Nice To Haves

• 1–3 years of experience in medical and/or dental billing, health care administration, or a related field.
• Knowledge of FQHC billing.
• Knowledge of ICD-10 and DSM coding, CPT (Level 1 HCPCS), Level 2 HCPCS, and ADA codes.
• Medical billing and/or medical coding certification.

Responsibilities

• Submit claims accurately and on time according to payer rules and guidelines.
• Post payments, sliding fees, and adjustments accurately to patient accounts.
• Prepare and mail paper claims in a timely manner.
• Assist with reviewing and processing monthly aging claims.
• Communicate with patients, payers, attorneys, and program contacts about claims, billing concerns, collections, and financial transactions.
• Provide the Director of Revenue Cycle with input on benchmarks and progress toward billing goals.
• Manage and monitor clearinghouse and payer-portal rejections and return-to-payer claims.
• Rebill or resubmit claims as necessary.
• Batch and post payments and adjustments according to payer and departmental guidelines.
• Review third-party payer remittance advice and denials for accuracy.
• Assess reports and ensure open claims are resolved and billed accurately.
• Build relationships with third-party payers, providers, and other representatives.
• Attend insurance training sessions and meetings to remain current on medical and dental billing rules and regulations.
• Travel when necessary to meet operational needs.
• Perform other duties as assigned.

Benefits

• 20 days of PTO per year and 10 paid holidays.
• Employer-paid basic life insurance.
• Employer-paid short-term disability.
• Employer-paid long-term disability.
• Employee Assistance Program with 12 free sessions per year.
• Optional medical insurance.
• Optional dental insurance.
• Optional vision insurance.
• Optional supplemental life insurance.
• Optional accident and critical illness insurance.
• Optional identity theft insurance.
• 401(k) with Safe Harbor Plan match.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED