Revenue Cycle Specialist

MWD Management, LLC dba•Georgetown, TX

9d•Onsite

About The Position

The Revenue Cycle Specialist is responsible for correcting, completing and processing claims of all payer codes. They are also required to generate reports from the EHR in accordance with established procedures. Work accounts receivables from time dropped to when the payment is received; to include commercial payers, government payers, and self-pay.

Requirements

One (1)+ year experience in a medical setting, dermatology practice preferred
High School diploma or equivalent
Knowledge of all payer codes
Knowledge of medical terminology and billing practices
Ability to communicate in an active multi-office environment
Ability to efficiently operate all job-related office equipment
Ability to follow or provide verbal and written instructions
Basic to intermediate computer operation
Mathematical and/or analytical ability for basic to intermediate problem solving
Detail oriented, professional attitude, reliable
Specialty knowledge of systems relating to job function

Nice To Haves

Associate degree in Business Administration, Accounting or Health Care Administration, preferred
Knowledge of insurance guidelines; especially Medicare and Medicaid

Responsibilities

Review patient bills for accuracy and completeness and obtain any missing information prior to submission
Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments, if necessary
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Answer all patient or insurance telephone inquiries pertaining to assigned accounts