Revenue Cycle Specialist- Patient Business Services

Health First • Rockledge, FL

54d

About The Position

The Revenue Cycle Specialist will be responsible for the review, analyzation, trending, follow-up and resolution of third-party claims reimbursements to include the identification, billing and collection of payments. The Revenue Cycle Specialist will actively engage with other departments to ensure timely resolution of all outstanding accounts to ensure maximum reimbursement.

Requirements

• High School Diploma or equivalent.
• One (1) year experience in customer service, healthcare billing, Accounts Receivable (AR) follow- up or a relevant field.
• Microsoft Office - Outlook, Word, Excel, PowerPoint.
• Knowledge of third-party claims reimbursement practices.
• Advanced knowledge of payer contracts, payment policies, regulations to ensure correct payment of claims.
• Thorough knowledge of complex insurance correspondences to include explanation of benefits, remittance advices and denial letters.

Nice To Haves

• Two (2) years' experience in healthcare billing, AR follow up, or a related area.

Responsibilities

• Navigates payer websites and vendor applicable systems to verify insurance benefits, understanding insurance payments, denials and correspondences.
• Maintains established quality assurance and productivity benchmarks while utilizing best practice standards established.
• Processes all referrals in a timeframe established by the department.
• Updates patient accounts accurately in all systems to reflect work being performed.
• Retains information provided, applying logic and critical thinking to identify payer trends resulting in payment delays.
• Communicates identified payment trends to leadership promptly and accurately and provide solutions to resolve challenges and issues.
• Assists with training and mentoring of new hires.
• Ensures compliance with state and federal laws regarding all aspects of role.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees