Revenue Specialist

DAP Health•Palm Springs, CA

1d•$25 - $29•Remote

About The Position

At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission. Job Summary The Revenue Cycle Specialist is responsible for ensuring accurate and timely verification of patient insurance eligibility and benefits across all service locations. This role supports front-end revenue cycle operations by proactively verifying coverage, entering payer information into the electronic health record (EHR) and communicating eligibility details to front desk staff prior to patient visits. The Revenue Cycle Specialist serves as a key resource for patients by explaining insurance coverage, benefits, and financial responsibilities, and assists with identifying appropriate financial options when needed.

Requirements

Strong attention to detail
Ability to work accurately and with minimal supervision
Knowledge of insurance verification
Strong communication skills
Team collaboration
Time management
Ensure data and research are completed in a timely and procedurally correct manner
Ability and willingness to work with diverse populations
Willingness to work evenings, weekends and on an emergency basis
Prior Healthcare experience of a minimum of 2 year required
Knowledge of EHR functionality
Knowledge of insurance verification processes for Medi-Cal (including managed care plans) Medicare, and commercial payor across primary care, dental, behavioral health and specialty services
Familiarity with payer contracts and reimbursement methodologies including capitation and fee-for-service
Working knowledge/familiarity with computers and electronic clinical record keeping
Knowledge of Medical Terminology and familiar with insurance billing procedures
Ability to lift up to 24 pounds and move from place to place
Ensures compliance with policies and procedures related to safe work practices

Nice To Haves

Bilingual - English/Spanish preferred

Responsibilities

Verify patient insurance eligibility and benefits for assigned locations at least two (2) days prior to scheduled appointments
Perform real-time eligibility verification for walk-in patients and communicate status to front desk staff
Enter and update payer and benefit information in the EHR
Document expected patient financial responsibility for front desk collection
Verify and validate that required referrals and/or prior authorization are in place for scheduled services based on payer requirements; escalate when missing; incomplete or invalid.
Verify Medi-Cal, Medicare and commercial insurance.
Answer incoming billing line calls and assist patients
Educate patients on insurance coverage and benefits
Assist with redirecting to CCS for financial options when coverage is limited
Assist with claims processing- when applicable
Complete assigned Epic work queues
Maintain relationships with internal teams and payers
Ensure compliance with policies and confidentiality
Perform other duties as assigned