Revenue Cycle Specialist

usebridge.com

20h

About The Position

The Revenue Cycle Specialist works under the supervision of the Manager of Revenue Cycle and will perform a variety of tasks to support all insurance revenue cycle activities and cash goals. They will primarily perform insurance billing operations - working towards collection goals and maintaining KPIs within the billing system. This position will also work support queues, demonstrating exceptional customer support to our Partners assisting patients with insurance eligibility and claim inquiries.

Requirements

• 2+ years of experience verifying insurance eligibility, creating, submitting and posting of professional claims within a healthcare setting
• Demonstrate an understanding of NPI, taxonomy, and electronic claim submission requirements
• Strong knowledge of CPT, HCPC, and ICD10 codes, as well as HIPAA regulations
• Intermediate knowledge of revenue cycle processes and best practices
• Knowledge of insurance coverage guidelines
• Ability to prioritize work and manage time efficiently
• Self-motivated, able to work autonomously, multi-task and switch focus quickly
• Strong organizational skills and attention to detail
• Ability to meet deadlines
• Ability to apply good judgment and expertise
• Excellent written and verbal communication skills
• Excellent Customer Service skills

Nice To Haves

• Preferred experience working in Candid, or billing system implementation/configuration equivalent
• Preferred experience working with 270/271 X12 files (real time eligibility)
• In-depth understanding of insurance A/R, with ability to read and interpret ERA/EOB/EOPs

Responsibilities

• Serve as an insurance billing subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management (RCM) within a telehealth setting
• Perform RCM functions as assigned/queued (including, but not limited to: Eligibility Verification, Charge Entry, Claim Submission, Payment Posting, Collections and Credits, Support ticket maintenance, and Denied/Rejected claims)
• Identifies and resolves issues affecting revenue reimbursement from Payers and/or patients
• Identifies problem areas and trends encountered while working with any team or department and communicates findings to management
• Adapts quickly to changes in assignments to maximize financial impact
• Identify opportunities that will provide a significant contribution to reducing A/R and increasing revenue
• Remains proficient in the use of specific applications related to revenue cycle management, i.e. billing systems, EMRs, internal portals, team communication tools, clearing houses, credit card system, bank transactions, patient communication platform, etc.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed