Revenue Cycle Specialist
About The Position
Shields Health Care Group is seeking a detail-driven Revenue Cycle Specialist to join our fully remote team supporting our MRI services. This role has a strong, dedicated focus on true insurance denials. The Revenue Cycle Specialist provides the necessary functions to bill, collect, analyze, and adjudicate billing and collection functions for all clinical services. The opening for this role is Monday-Friday, 7:30am-4pm, fully remote (EST time zone). Provides the necessary functions to bill, collect, analyze, and adjudicate billing and collection functions for all clinical services. The position executes and performs programs to ensure efficient operations of the SHCG Revenue Cycle program in order to generate sufficient cash flow to support SHCG operations and strategic initiatives. In the position of Revenue Cycle Specialist responsibilities include billing and collecting for all third-party insurance payer’s adjustment functions, adjudicating, identifying, analyzing, reducing and resolving revenue enhancement. This position works with external physicians groups and insurance companies or third party brokers as well as working with Shields CCR and PCR staff.
Requirements
- High School Diploma or equivalent
- Experience dealing with various customer groups, including doctors.
- Experience with medical billing; including the authorization process, benefit plans, denials and billing follow up.
- Ability to handle confidential material; be detail oriented; and follow through on multiple items.
- Must be enthusiastic, able to multi task and master the efficient use of multiple technological systems.
- A cooperative spirit and great customer service skills are essential.
- Knowledge of medical billing or prior company experience required
Nice To Haves
- Familiarity with Massachusetts insurance plans is a plus, as this role works closely with payers common to the New England market.
Responsibilities
- bill
- collect
- analyze
- adjudicate billing and collection functions for all clinical services
- execute and perform programs to ensure efficient operations of the SHCG Revenue Cycle program
- billing and collecting for all third-party insurance payer’s adjustment functions
- adjudicating, identifying, analyzing, reducing and resolving revenue enhancement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
