Revenue Cycle Specialist

Job Summary
The Revenue Cycle Specialist plays a crucial role in the healthcare system by ensuring the accuracy and efficiency of the revenue cycle process. This position is responsible for managing patient accounts, processing medical payments, and ensuring compliance with coding standards. The ideal candidate will have a strong understanding of the overall revenue cycle process to support optimal financial performance within the organization.

Duties

• Review and analyze patient accounts to ensure accurate billing and collections.
• Post Insurance Payments and process claim denials as necessary.
• Process medical claims using appropriate coding systems including ICD-9 and ICD-10.
• Collaborate with healthcare providers to obtain necessary medical records for billing purposes.
• Conduct follow-ups on outstanding claims and resolve discrepancies in a timely manner.
• Maintain up-to-date knowledge of DRG (Diagnosis Related Group) regulations and compliance requirements.
• Utilize medical terminology effectively to communicate with clinical staff and insurance companies.
• Ensure all billing practices adhere to legal and ethical standards within the healthcare industry.

Qualifications

• Proficiency in medical terminology and understanding of medical collection processes.
• Experience with medical billing and coding, including familiarity with ICD-9, ICD-10, and DRG systems.
• Strong organizational skills with attention to detail to manage multiple accounts efficiently.
• Ability to work independently as well as collaboratively in a team-oriented environment.
• Previous experience in a medical office or healthcare setting is preferred.
• Excellent communication skills for effective interaction with patients, providers, and insurance representatives.
• Knowledge of eClinicalworks electronic health record (EHR) systems is a plus.

This position requires a dedicated professional who is committed to maintaining the integrity of the revenue cycle while providing exceptional service within the healthcare environment.

Job Types: Full-time, Part-time

Pay: $56,000.00 - $59,000.00 per year

Expected hours: 20 – 40 per week

Benefits:

• 401(k)
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 4 hour shift
• 8 hour shift
• Day shift
• Monday to Friday

Ability to Commute:

• Lady Lake, FL 32159 (Required)

Ability to Relocate:

• Lady Lake, FL 32159: Relocate before starting work (Required)

Work Location: In person

Salary : $56,000 - $59,000