Revenue Cycle Specialist
About The Position
The Remote Revenue Cycle Specialist acts as a liaison between insurance companies and our health care facility to ensure accurate payments are being received. The position of Medical Biller also includes credentialing new medical staff and maintaining current medical staff credentials. General Duties and Responsibilities Review and submit encounters daily to insurance Review, correct, and process any rejected or denied claims File claim reconsiderations or appeals when necessary Post and review payments Manage accounts receivable and follow up on “no response claims” in a timely fashion Coordinate and send monthly patient statements and follow up as necessary Assist in reconciling account receivable and reconciling statements monthly Maintain knowledge of insurance plans and billing practices and procedures Implement new policies and procedures to streamline billing and collections when necessary Assist in preparing financial reports for patients as directed Support staff with insurance information collections and collection of copays/coinsurance/deductible Assist with credentialing for new staff providers and maintain current credentialing for current QualificationsQualifications Knowledge of CPT, HCPCS, ICD-10 codes and medical terminology Knowledge of CMS1500, UB04 claim filing requirements Proficient in 10-key data entry and typing Prefer 2 years’ experience with medical billing, preferably in a medical office setting Requires at least two years of medical billing experience with demonstrated expertise in denial management, clearinghouse rejection resolution, and proficiency with the EPIC billing system Prefer higher education in a billing/coding program or medical billing and coding certification Requirements Knowledge of basic computer skills, Excel, Word and how to use Electronic Medical Records Experience with patient centered care Punctuality and impeccable attendance Strong communication skills with both professionals and patients from all demographics Non-judgmental approach to patient care Technical skills with required office equipment Patience and great attention to detail Completely understand the healthcare privacy laws as outlined in HIPAA LGBTQ+ cultural competency Ability to work collaboratively in team-based care Ability to adapt to a work environment that is constantly changing and not always structured Ability to work in a fast paced and, at times, excited atmosphere Maintain a professional attitude and demeanor Ability to multi-task
Requirements
- Knowledge of CPT, HCPCS, ICD-10 codes and medical terminology
- Knowledge of CMS1500, UB04 claim filing requirements
- Proficient in 10-key data entry and typing
- Requires at least two years of medical billing experience with demonstrated expertise in denial management, clearinghouse rejection resolution, and proficiency with the EPIC billing system
- Knowledge of basic computer skills, Excel, Word and how to use Electronic Medical Records
- Experience with patient centered care
- Punctuality and impeccable attendance
- Strong communication skills with both professionals and patients from all demographics
- Non-judgmental approach to patient care
- Technical skills with required office equipment
- Patience and great attention to detail
- Completely understand the healthcare privacy laws as outlined in HIPAA
- LGBTQ+ cultural competency
- Ability to work collaboratively in team-based care
- Ability to adapt to a work environment that is constantly changing and not always structured
- Ability to work in a fast paced and, at times, excited atmosphere
- Maintain a professional attitude and demeanor
- Ability to multi-task
Nice To Haves
- Prefer 2 years’ experience with medical billing, preferably in a medical office setting
- Prefer higher education in a billing/coding program or medical billing and coding certification
Responsibilities
- Review and submit encounters daily to insurance
- Review, correct, and process any rejected or denied claims
- File claim reconsiderations or appeals when necessary
- Post and review payments
- Manage accounts receivable and follow up on “no response claims” in a timely fashion
- Coordinate and send monthly patient statements and follow up as necessary
- Assist in reconciling account receivable and reconciling statements monthly
- Maintain knowledge of insurance plans and billing practices and procedures
- Implement new policies and procedures to streamline billing and collections when necessary
- Assist in preparing financial reports for patients as directed
- Support staff with insurance information collections and collection of copays/coinsurance/deductible
- Assist with credentialing for new staff providers and maintain current credentialing for current
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
