Revenue Cycle Specialist

Hunter Health•Wichita, KS

1d•Remote

About The Position

Hunter Health provides medical, dental, behavioral, vision, laboratory, radiology, and pharmacy services to the Wichita community. The Revenue Cycle Specialist works with insurance companies and patients to promote patient service revenue growth. The role reviews medical, radiology, obstetrics, dental, and vision claims to maintain accurate patient account records and accounts receivable, and follows applicable federal, state, clinic, grant, and Hunter Health policies and procedures. This is a remote position in Wichita, Kansas, with a Monday–Friday, 40-hour workweek. Travel may be required when needed for operational purposes.

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 listen, identify, and respond quickly and effectively to internal and external needs.
Effective communication with patients, providers, and stakeholders.
Organizational and multitasking skills, with effective use of time and resources.
Good judgment and decision-making skills.
Ability to collaborate, seek clarification, and confirm accuracy as needed.
Ability to work as part of a team, contribute to projects, and develop positive working relationships.
Initiative and commitment to pursuing goals.
Accuracy, thoroughness, reliability, time and priority management, and ability to develop and follow work procedures.
Ability to evaluate one's own performance and accept constructive feedback.
Ability to speak clearly and effectively and hear average conversations.
Ability to sit, stand, walk, and use hands to handle, feel, and reach; finger dexterity for tasks such as typing and picking up objects.
Ability to focus clearly on items, including close and color vision, and adjust 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, healthcare 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-fee adjustments, and other adjustments accurately to patient accounts.
Prepare and mail paper claims in a timely manner.
Assist with reviewing and processing aging monthly 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 stay current on medical and dental billing rules and regulations.
Travel when necessary to meet operational needs.
Perform other duties as assigned.