Revenue Cycle Specialist

Specialty1 Partners•Houston, TX

11d•$55,000 - $70,000•Remote

About The Position

As the Revenue Cycle Specialist, you will be responsible for identifying, processing, and reducing missed payments, collections, and denied claims. This includes the working of claims aging reports and outstanding patient AR. This position recognizes potential issues within the claims and collections process and recommends and implements solutions for improvement. This position holder stays up with emerging technologies and payor practices and is viewed as a thought leader in revenue cycle management, who eliminates obstacles by implementing solution road maps.

Requirements

2+ years of multisite remote RCM support experience
Expert working knowledge of the RCM process and solutions, including how billing and coding impact financial revenue projections.
Proficient with Microsoft Word and Excel
Comfort and flexibility working in a fast-paced health environment.
Proven track record of customer service skills

Responsibilities

Resolve healthcare claims through verbal or online inquiries to health insurance payers.
Effectively navigate and utilize various healthcare provider software systems.
Verify patient, insurance, billing and claim submission information for accuracy.
Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.
Research missing payments and secure documents needed for posting.
Insurance claim billing
Work and manage claims from all aging buckets including posting and appeals.
Resubmission of claims
Coordination with offices to collect appropriate missing items for claim.
Denial management-investigates, and resolves denied claims in a timely manner.
Appropriate adjustments
Pull EFT back-up (EOBs) as needed for claim resolution.
Communicate with proper departments for any issues prohibiting proper allocation of payments to be posted.