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AHN Home Medical Equipmentis hiring a Revenue Cycle Specialist. This position is responsible for claims invoicing, securing payment, and denial follow-up for Home Infusion claims. The Revenue Cycle Specialist is also responsible for timely follow-up on open accounts receivable, cash applications, adjustment requests, and maintaining a comprehensive knowledge of coverage criteria and guidelines for their assigned payer group(s). After successful training, this will move to a work-from-home position. Training will be held in Ford City, Meadville, Crafton, or Sharpsburg, depending on the candidate's location.
· Ensure all billing requirements and required medical necessity information meet coverage criteria guidelines before invoice creation
· Review and follow up on open accounts receivable timely
· Identify delinquent accounts and investigate to identify issues affecting payment delays
· Follow-up on open denials daily, review, correct, and resubmit timely
· Utilize all resources to verify insurance coverage and request supporting documentation for all insurance changes
· Follow all contract payer rules and regulations to ensure compliance
· Document and maintain complete and accurate records concerning collection activity on all accounts
· Create and follow up on tasks for additional supporting documentation as needed
· Request adjustments and forward for approval/denial
· Resolve collection issues and report any issues/trends to management to timely resolve the problem
· Post Cash/denials timely and accurately
· Answer incoming phone calls, provide excellent customer service over the phone and provide thorough follow-up
Requirements:
· Demonstrates proficiency in insurance guidelines and collection practices
· Excellent knowledge of revenue cycle
· Show attention to detail, maintain accuracy, and meet aggressive goals.
· High school graduate or equivalent required
· Some advance degree-related or medical professional training preferred
· Spreadsheet and database management experience
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Benefits:
Schedule:
Ability to commute/relocate:
Application Question(s):
Work Location: Hybrid remote in Pittsburgh, PA 15215
Full Time
$61k-81k (estimate)
03/09/2024
07/03/2024
The job skills required for Revenue Cycle Specialist include Billing, Accounts Receivable, Customer Service, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Cycle Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue Cycle Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue Cycle Specialist positions, which can be used as a reference in future career path planning. As a Revenue Cycle Specialist, it can be promoted into senior positions as a Revenue Cycle Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Cycle Specialist. You can explore the career advancement for a Revenue Cycle Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Revenue Cycle Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Revenue Cycle Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Revenue Cycle Specialist job description and responsibilities
A revenue cycle specialist oversees crucial financial tasks, specifically payment and collections, within a healthcare organization such as a hospital or clinic.
04/03/2022: Binghamton, NY
There are plenty of departments charged with making sure these things happen, but only a revenue cycle specialist oversees all of those departments.
02/26/2022: Saginaw, MI
Most revenue cycle specialist offer services like follow-up calls, past-due billing, and collections management.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Revenue Cycle Specialist jobs
A certified revenue cycle specialist (CRCS) has passed an exam administered by the American Association of Health Care Administrative Management (AAHAM).
04/06/2022: Laramie, WY
Find out what a revenue cycle specialist does and how to become one.
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Step 3: View the best colleges and universities for Revenue Cycle Specialist.