Revenue cycle specialist

Schedule : 8am to 4 : 30pm EST

GENERAL SUMMARY :

The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.

Essential Duties and Responsibilities :

• File claims using all appropriate forms and attachments
• Handle Outbound calls and Maneuver between several different software systems
• Research account denials and file written appeals, when necessary.
• Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
• Ensure the integrity of each claim that is billed.
• Document in detail all efforts in CUBS system and any other computer system necessary.
• Verify patient information and benefits.

Additional Duties and Responsibilities :

• Meet specified goals and objectives as assigned by management.
• Maintain good working relationships with state and Federal agencies.
• Resolve accounts in a timely manner.
• Always maintain confidentiality of account information.
• Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
• Maintain awareness of and actively participate in the Corporate Compliance Program.
• Maintain a confidential and orderly remote work area.

Educational / Vocational / Previous Experience Recommendations :

• High school diploma or equivalent is required.
• Formal training in the specialty of Insurance Billing preferred.
• Knowledge of all insurance payers preferred.
• Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments
• Ability to always present oneself in a courteous and professional manner
• Ability to stay on task with little or no management supervision
• Demonstrate initiative and creativity in fulfilling job responsibilities
• Capacity to prioritize multiple tasks using time management and organizational skills.
• Proficient PC knowledge and the ability to type 30-40 wpm.

Working Conditions :

• Remote work from home office, virtual Call Center environment.
• Must be able to sit for extended periods of time.

Last updated : 2024-10-15