Revenue Cycle Specialist
About The Position
Apex Spine & Neuro is seeking a detail-oriented and experienced Revenue Cycle Specialist to join our healthcare team. The ideal candidate will be responsible for managing the full revenue cycle process, including billing, coding, and collections, to ensure accurate and timely reimbursement. This role requires a strong understanding of medical billing procedures, coding systems, and electronic health record (EHR) systems. The Revenue Cycle Specialist will play a vital role in optimizing revenue flow and maintaining compliance with healthcare regulations. This position offers an opportunity to contribute significantly to the financial health of our organization while working within a collaborative healthcare environment.
Requirements
- Proven experience in medical billing, coding (ICD-9, ICD-10, CPT), and collections within a healthcare setting.
- Familiarity with DRG classifications and medical terminology is highly preferred.
- Experience working with EMR/EHR systems and medical records management. Experience with Athena is a plus.
- Strong understanding of medical office operations, insurance processes, and healthcare reimbursement policies.
- Knowledge of medical coding standards and ability to accurately assign codes based on clinical documentation.
- Prior experience in a fast-paced environment requiring attention to detail, organization, and compliance is essential.
- 3+ years AthenaOne experience a plus
- 5+ years experience in Medical billing
Nice To Haves
- Experience with Orthopaedics and Ambulatory Surgery Center billing is a plus.
Responsibilities
- Review and process medical claims using ICD-9, ICD-10, CPT coding, and DRG classifications to ensure accurate billing.
- Versatile in all aspects of the Revenue Cycle through Resolution of all patient claims.
- Submit claims through EMR/EHR systems and follow up on unpaid or denied claims to facilitate prompt collections.
- Verify medical records and documentation for completeness and accuracy before billing.
- Collaborate with medical office staff to resolve billing discrepancies and patient account issues.
- Manage medical collections by contacting insurance companies and patients to resolve outstanding balances.
- Maintain up-to-date knowledge of coding guidelines, payer policies, and healthcare regulations to ensure compliance.
- Generate reports on revenue cycle performance metrics and identify areas for process improvement.
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1-10 employees
