Revenue Cycle Specialist

Job Summary
We are seeking a detail-oriented and knowledgeable Revenue Cycle Specialist to join our team. The ideal candidate will play a crucial role in managing the revenue cycle process, ensuring accurate medical, behavioral health and dental billing, coding, and collections. This position requires a strong understanding of medical terminology, CPT/HCPCS, ICD10 and the overall healthcare revenue cycle.

Duties

• Call payers and use probing questions to understand claim status.
• Review denied claims on payer portals or EOBs and take necessary steps to resolve the denial.
• Clearly document multiple EHR systems to ensure clear understanding of actions taken to resolve the claim.
• Write, submit and follow up on appeals for denied claims.
• Meet quality and productivity standards.
• Review and understand EOB's/RA's (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities.
• Process all required payments and adjustments to client accounts .
• Contact insurance plans and governments entities using online systems, email, and phone to resolve unpaid claims.
• Providing data to management on trends found with payers in claims adjudication process affecting claims payment.
• Provide excellent customer service in keeping with MedLink's legacy both internal and externally.
• Maintain expertise in multiple client EHR systems.
• Maintain up to date knowledge of revenue cycle management, industry trends perform other duties as necessary.
• Acts as an effective team member.

Qualifications

• Minimum of 1 year health care revenue cycle experience within a physician or behavioral health office, or insurance plan claims processing unit.
• Strong knowledge of medical terminology, CPT/HCPCS and ICD.10 coding requirements and healthcare regulations.
• Experience with electronic health record (EHR) systems.
• Excellent attention to detail and organizational skills to manage multiple tasks effectively.
• Strong communication skills for interacting with patients, insurance companies, and healthcare providers.
• Ability to work independently as well as part of a team in a fast-paced environment.

If you are passionate about optimizing the revenue cycle in healthcare and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Revenue Cycle Specialist.

Job Type: Full-time

Pay: $32,500.00 - $40,000.00 per year

Benefits:

• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to Commute:

• Woodstock, VA 22664 (Required)

Ability to Relocate:

• Woodstock, VA 22664: Relocate before starting work (Required)

Work Location: In person

Salary : $32,500 - $40,000