Revenue Cycle Support Specialist

WVU Medicine•Bensley, VA

4d•Hybrid

About The Position

The Revenue Cycle Support Specialist provides a wide range of tasks to support the daily operation. This role is responsible for managing, processing, and responding to all incoming and outgoing written communications related to the revenue cycle. This includes handling insurance correspondence, patient billing inquiries, claim follow-ups, denial management letters, and internal communications to ensure accurate, timely, and compliant resolution of revenue cycle issues.

Requirements

High school diploma or equivalent required.
Correspondence processing.
Strong written communication skills with excellent grammar, spelling, and attention to detail.
Ability to manage multiple priorities and deadlines in a fast-paced environment.
Proficient in Microsoft Office Suite, especially Word and Outlook.
Strong organizational and record-keeping skills.
Understanding of HIPAA and patient privacy laws.

Nice To Haves

Knowledge of healthcare billing, insurance processes, and payer guidelines.
Experience with insurance denials, appeals, and claim resolution processes.

Responsibilities

Receive, review, and process all incoming correspondence related to billing, insurance claims, denials, appeals, and patient inquiries.
Process outgoing mails including but not limited to claims, itemized bills and medical records as required.
Draft, edit, and send responses to insurance companies, patients, and internal departments following established guidelines and policies.
Maintain accurate records of all correspondence in electronic document management systems or revenue cycle software.
Track, monitor, and escalate unresolved correspondence issues to appropriate revenue cycle teams for resolution.
Collaborate with billing, coding, collections, and patient financial services teams to gather necessary information for correspondence responses.
Ensure all correspondence complies with HIPAA regulations and organizational confidentiality standards.
Support denial management by generating appeal letters and coordinating necessary documentation.
Assist in audit preparation by organizing correspondence records and documentation.
Maintain templates and update correspondence formats as needed to reflect current policies and payer requirements.
Provide regular reports on correspondence volume, status, and resolution metrics.
Other Revenue Cycle supporting tasks and duties as assigned.