Revenue Cycle Specialist, AR Specialist, Medical Biller

This is a fully remote position, open to applicants in Nebraska.

📋 Description

• Submits accurate and timely invoices to payers for the products and services rendered.

• Understands the terms and fee schedules associated with all contracts for which invoices are generated.

• Accurately determines quantities and prices for billed medications.

• Verifies that services and products are properly authorized and that necessary documentation is maintained.

• Ensures invoices are submitted for services and products that have been appropriately ordered and confirmed as delivered.

• Evaluates received payments for accuracy and applies them correctly within the system.

• Confirms that payments received align with the fee schedule.

• Correctly applies payments to patient accounts.

• Ensures that secondary bills and patient invoices are dispatched within 48 hours of payment receipt.

• Alerts the Reimbursement Manager regarding any overpayments or duplicate payments for the same service.

• Transfers payments intended for other offices within 48 hours of receipt.

• Follows up on submitted invoices to guarantee prompt and timely payments.

• Makes calls to confirm that claims submitted have been received and are being processed.

• Sends correspondence to the patient or responsible party when their insurance provider fails to make payment within a reasonable timeframe.

• Generates and sends out statements and collection letters.

• Follows up on all denials within 48 hours of receipt.

• Ensures compliance with policies and guidelines specified in the contract terms and fee schedule.

• Adheres to HIPAA guidelines when accessing and sharing patient information to uphold confidentiality for both patients and the business.

⛳️ Requirements

• High School Diploma or equivalent is required.

• 0 – 6 months of prior experience in Infusion Reimbursement or Intake/Admissions is preferred.

• Basic proficiency in Microsoft Excel.

• Basic proficiency in Microsoft Word.

🏝️ Benefits

• Medical, Dental, & Vision Insurance.

• Paid Time Off.

• Bonding Time Off.

• 401K Retirement Savings Plan with Company Match.

• HSA Company Match.

• Flexible Spending Accounts.

• Tuition Reimbursement.

• myFlexPay.

• Family Support.

• Mental Health Services.

• Company Paid Life Insurance.

• Award/Recognition Programs.