Revenue Cycle Specialist (Medical Billing)

Fairfax Neonatal Associates LLC • Fairfax, VA

32m • $26 - $30 • Remote

About The Position

Fairfax Neonatal Associates (FNA) is seeking a full-time Revenue Cycle Specialist to join our Medical Billing Operations team. The Revenue Cycle Specialist ensures timely and accurate billing of all physician services within the assigned line of business, monitors billing, and recommends corrective action(s) to address denials in a manner that optimizes reimbursement. This is a remote position; however, employees may be required to report to company headquarters in Fairfax, VA for in-person meetings, training, or other business needs as determined by FNA.

Requirements

• Knowledge of medical terminology, CPT/ICD-10 coding, payer requirements, and medical billing and collections processes.
• Understands the full life-cycle billing process from demographics entry to collection, including the collection module.
• Ability to investigate and resolve claim issues, reconcile accounts, and follow HIPAA and organizational compliance standards and processes.
• Strong communication, customer service, organizational, and problem-solving skills with attention to detail.
• Ability to manage competing priorities, meet deadlines, and work independently.
• Proficiency in Microsoft Office.
• Minimum four years of experience in medical billing, coding, or collections.
• Experience working with one or more payor types including Medicaid or third-party commercial insurance companies.

Nice To Haves

• Experience with Allscripts Practice Management (PM) and EHR PRO preferred.
• AAPC/AHIMA coding certification is a plus.
• Athena collector experience preferred.
• Bilingual or multilingual proficiency is a plus.

Responsibilities

• Manage the outpatient claims lifecycle, including claim creation, monitoring, corrections, resubmissions, and error resolution in accordance with applicable regulations and guidelines.
• Research and resolve outstanding claims and receivables through payer communication, internal collaboration, and preparation of appeals for submission.
• Review payment and adjustment data, manage assigned receivables and special projects, and report trends or recurring issues.
• Maintain accurate patient and guarantor information and coordinate with clinical teams to obtain necessary documentation or corrections.
• Verify insurance coverage, assist with coordination of benefits, and respond to claims-related inquiries from patients, staff, and insurance carriers.
• Process insurance credit-balance accounts for refunds in Athena, including required verification and documentation, and assist with escalated patient account inquiries via telephone support.
• Other duties as assigned.

Benefits

• High-quality medical, dental, and vision coverage.
• Company paid life/AD&D, short-term disability, and long-term disability insurance.
• Paid Time Off (PTO).
• Retirement plan (401k) with employer profit sharing contribution eligibility.
• Employee assistance program.

What This Job Offers

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