Revenue Cycle Specialist

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

📋 Description

• Prepare and submit claims for physicians and clinics to third-party insurance carriers, either electronically or via hard copy billing.

• Obtain necessary medical documentation required or requested by third-party insurers.

• Follow up on unpaid claims with third-party insurance carriers until they are resolved or only self-pay balances remain.

• Address rejections by making accounts private and generating rejection letters for patients, or by correcting billing errors and resubmitting claims.

• Collaborate with physicians or medical record staff to ensure accurate reporting of diagnoses and procedures.

• Guarantee proper documentation and entry of patient charges.

• Stay informed about changes in billing and insurance practices.

• Monitor claims for any missing information and authorization/control numbers.

• Support the clinic's mission, vision, values, standards, policies, procedures, confidentiality standards, and ethical practices.

• Maintain logs for third-party billing.

• Ensure that documentation adheres to regulatory agency requirements and best practices.

⛳️ Requirements

• High School Diploma or equivalent is required.

• Must be self-motivated and able to work independently.

• Proficient in computer skills, including Microsoft Office.

• Familiarity with billing software is preferred.

• A Bachelor’s degree in accounting, healthcare administration, finance, business, or a related field is preferred.

• At least 2 years of prior experience as a medical biller or in a similar healthcare administrative role is preferred.

🏝️ Benefits

• PTO (Paid Time Off).

• Immediate vesting and eligibility in the 401k program with employer matching.

• Company-sponsored ongoing training and certification opportunities.

• Comprehensive benefits package, including medical, dental, vision, short-term disability, long-term disability, and accident insurance.

• Tuition reimbursement after one year in a related field.

• Competitive compensation.

• Supportive work environment focused on professional growth and development.