Revenue Cycle Specialist, Primary Care

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

📋 Description

• Assess clinical documentation for accuracy and ensure appropriate coding before processing electronic claims.

• Notify and educate providers and/or managers when coding inaccuracies are detected and/or when there are changes in payer requirements related to coding.

• Work in conjunction with the Billing Manager and AR Manager to identify trends in insurance denials and other issues leading to non-payment, and discuss strategies to minimize denials.

• Partner with the Manager to create and/or update billing/coding and resource manuals tailored to Primary Care services.

• Team up with the Patient Access Specialist to reconcile client accounts concerning eligibility-related matters.

⛳️ Requirements

• Associate's or Bachelor's Degree along with 2-3 years of experience relevant to the responsibilities outlined in a Primary Care environment.

• CPC certification is mandatory.

• Familiarity with billing concepts, practices, and procedures specific to Primary Care.

• Experience with healthcare billing systems, preferably Welligent.

• Proficient in reviewing clinical documentation to apply CPT and ICD-10 codes for billing purposes.

• Strong comprehension of the Revenue Cycle.

• Basic computer skills, including proficiency in Office 365, Teams, and Excel.

• Experience with North Carolina Medicaid.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance.

• Educational loan repayment programs.

• Opportunities for career advancement.

• Retirement savings plan/401K.

• Paid time off programs, rollover hours, and 14 paid holidays.

• Employee engagement activities, resource groups, and diversity events.