Revenue Cycle Specialist

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

📋 Description

• Assist in daily revenue cycle operations, which encompass billing, accounts receivable, and cash applications.

• Accurately and promptly process payments from insurance and patients.

• Follow up on pending insurance claims and outstanding patient account balances.

• Identify and address issues related to claims, denials, and payment discrepancies.

• Maintain effective workflows for billing, collections, and cash applications.

• Input, review, and update account and payment details within practice management software.

• Detect system or workflow issues and communicate them to management.

• Ensure claims are submitted and payments posted in a timely manner.

• Assist in the upkeep and updating of payor fee schedules.

• Verify the accuracy of reimbursements and report any discrepancies.

• Adhere to claim submission and documentation protocols.

• Meet established productivity and accuracy benchmarks.

• Oversee assigned work queues and complete tasks in a timely fashion.

• Escalate unresolved issues or patterns to the Revenue Cycle Manager.

• Discuss account issues and workflow matters with team members and leadership.

• Engage in team meetings and training sessions.

• Contribute to process enhancements and adapt to changes in workflows.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• High School Diploma or an equivalent qualification is mandatory.

• Basic understanding of healthcare billing, CPT/ICD-10 coding, and claim processes is essential.

• Proficiency in Microsoft Excel along with general computer skills is required.

• Previous experience in healthcare revenue cycle, billing, or accounts receivable is preferred.

• Familiarity with medical terminology and EHR/practice management systems is advantageous.

• Knowledge of insurance payors and registration data requirements is preferred.

• Capability to manage multiple tasks and adhere to deadlines in a dynamic environment.

• Strong organizational and problem-solving abilities are essential.

• Ability to work both independently and collaboratively within a team.

• Professional communication skills and demeanor are required.

• Exceptional attention to detail and accuracy is necessary.

• Commitment to confidentiality and compliance standards is expected.

• Demonstrated professional integrity.

• Sedentary work that necessitates extended periods of sitting at a computer workstation.

• Regular use of hands and fingers for typing and operating standard office equipment.

• Effective communication abilities through verbal and written channels.

• Capacity to hear and comprehend spoken information in person and via electronic means.

• Visual acuity for precise work on screens and documents.

• Ability to maintain concentration and attention to detail over prolonged periods.

🏝️ Benefits

• Competitive hourly wage.

• 6.5 paid holidays plus 2 Floating Holidays.

• Approximately 10 days of Paid Time Off (PTO) within the first year.

• Health insurance coverage.

• Dental insurance available.

• Vision insurance included.

• 401(k) plan offered.