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Revenue Cycle Specialist- AR Specialist

Braden Health LLC
Lexington, TN Full Time
POSTED ON 3/29/2025
AVAILABLE BEFORE 5/11/2025

**This is a remote position open to residents of Tennessee and Wisconsin**

General Position Summary:

This position is a non-essential position at the facility, meaning that their presence at the facility is not necessary to ensure efficient operations and patient care. Employees hired into a non-essential position are expected to contact their direct supervisor for instructions regarding reporting to work for their scheduled shifts in instances of inclement weather and road conditions that may exist.

The Revenue Cycle Specialist role focuses around collections, posting payments, deposits, and working denial accounts.

Duties and Responsibilities:

  • Reconciles payments
  • Works denials, identifies payor trends, tracks number of reworked/resubmitted claims
  • Runs collection reports
  • Audits correspondence from insurance companies
  • Posting insurance remittances
  • Customer service functions/billing calls
  • All other duties as assigned

Knowledge, Skills, and Abilities:

Good oral and written communication skills.

Demonstrates understanding of Medicare and third-party payor coordination of benefits policies and procedures related to the admission and registration function.

Ability to interact professionally, courteously, and efficiently with the public, coworkers, and payor contacts.

Demonstrates good judgment and the ability to make decisions effectively.

Ability to interact with patients calmly and treat them with dignity and respect, even in stressful conditions.

Knowledge of HIPAA regulations and demonstrates the ability to keep protected health information confidential.

Good time management and organizational skills.

Proficient in Microsoft Office applications.

Knowledge of revenue cycle policies and procedures.

Knowledge of payer contracts.

Knowledge of health insurance payors.

Work Experience, Education, and Certifications:

High School graduate or equivalent.

Experience in an acute care hospital, medical office, or clinic environment preferred.

Physical Requirements / Demands:

Prolonged periods of sitting at a desk and working on a computer.

Must be able to lift 15 pounds.

Statement of Non-Inclusivity:

This job description has been designed to describe the general nature and level of work being performed by the employee within this classification. It is not designed to contain or be interpreted as a comprehensive list of all duties, skills, responsibilities, and qualifications which may be required of or given to any employee assigned to the position. The skills, duties, requirements, and responsibilities outlined in this job description may be changed or added to when deemed appropriate and necessary by the company or the person who is designated to be managerially responsible for this position. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind. Employment with the company is an at-will relationship.

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