About The Position

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Revenue Cycle Specialist (Remote). In this role, you will play a critical part in the healthcare billing process by managing claims from initiation to payment. This role not only ensures timely reimbursement but also directly impacts the financial health of our partner's innovative patient care model. You will collaborate with multidisciplinary teams to resolve billing issues, enhance communication with insurance providers, and contribute to a proactive approach in financial management. As part of your responsibilities, you will handle complex patient balances, ensuring accurate and effective solutions are implemented promptly.

Requirements

  • Previous data entry and 10-key experience required.
  • 2 years of medical billing experience in a provider setting preferred.
  • Knowledge of basic accounting concepts.
  • Understanding of medical insurance products and plans.
  • Familiarity with ICD-10, CPT, HCPCS codes and claim regulatory guidelines.
  • Knowledge of medical terminology.
  • Working knowledge of Medicare, Medicaid, and third-party insurance rules.
  • Strong computer skills, including Microsoft Excel and Google Sheets.
  • Ability to navigate electronic medical records.
  • Skill in multitasking and problem-solving.
  • Excellent verbal and written communication skills.
  • Professional communication with supervisors, coworkers, customers, and patients.
  • Ability to work independently as well as part of a team.
  • Detail-oriented and accurate.

Responsibilities

  • Review and resolve all claims errors before the claim is submitted for payment.
  • Troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid claims.
  • Process credit refunds for patient and insurance overpayments.
  • Answer phone inquiries regarding billing, insurance, and claims.
  • Acquire accurate/updated insurance information from patients and their families.
  • Manage and resolve aging claims actively.
  • Work on resolving individual patient balances including setting up payment plans.
  • Collaborate with field management teams on data analysis and account resolution.

Benefits

  • Health Insurance.
  • Dental Insurance.
  • Vision Materials Insurance.
  • Company paid Life Insurance.
  • Company paid Short and Long-term Disability.
  • Health Savings Account (with employer contribution).
  • Flexible Spending Account (FSA).
  • Retirement plan with 4% matching contributions.
  • Eight (8) paid holidays for office closures.
  • Three weeks (15 Days) Paid Time Off (PTO).
  • Regular business hours.
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