Revenue Cycle Specialist I

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

📋 Description

• Timely follow-up on billed claims and resolution of accounts.

• Manage accounts receivable while ensuring thorough and accurate account documentation.

• Investigate and follow up on outstanding claims.

• Record all claim-related correspondence and actions in the system.

• Update and maintain billing guidelines, fee schedules, and contract rates.

• Review, document, and resolve incoming correspondence and payer inquiries.

• Assist with aging reports and communicate payer issues or denial trends to the Lead/Supervisor.

• Appeal or rebill underpaid claims and support payment processes as necessary.

• Liaise with insurance companies to gather information for invoice or account resolution through write-offs, reversals, adjustments, or other methods.

• Identify issues and trends, proposing resolutions to management.

• Research medical records to provide justification for medical procedures.

• Submit requested medical information to insurance carriers.

• Analyze and correct invoices or accounts while maintaining work queues.

• Achieve or surpass productivity and quality targets.

⛳️ Requirements

• High School Diploma or equivalent (GED).

• One (1) year of experience in hospital or physician insurance-related activities, including Authorization, Billing, Follow-Up, Call-Center, or Collections.

• Familiarity with Medicaid and Medicare billing regulations.

• Basic understanding of health insurance plans, policies, and procedures.

• Proficient in billing practices.

• Strong documentation skills.

• Experience with customer follow-ups.

• Knowledge of Medicare billing processes.

• Background in medical billing.

• Proficient in Microsoft Office applications.

• Competent computer literacy.

• Awareness of HIPAA regulations.

• Availability for a video interview via Microsoft Teams.

• Possible availability for onsite interviews and meetings.

• Preferred: Familiarity with Revenue and ICD coding language.

• Preferred: Two (2) years of experience in hospital or physician insurance-related activities.

🏝️ Benefits

• Comprehensive benefits package that includes programs for wellness, healthy living, security, connection, and engagement.

• Options for remote work.

• Provision of company equipment in accordance with remote work expectations.