What are the responsibilities and job description for the Revenue Cycle Specialist position at Northwest Kidney Centers?
Description
Northwest Kidney Centers seeks a Revenue Cycle Specialist to join the Patient Billing team in a full-time, hybrid, day shift position. Purpose : Under general supervision, the revenue cycle specialist will work closely with the revenue cycle team to maximize reimbursement from insurance carriers, patients, and miscellaneous entities. This position requires a high level of attention to detail and the ability to work well as part of a fast- paced team. The revenue cycle specialist will develop strong knowledge in insurance carrier policies, clearinghouse edits, and clinical requirements to expediate the cash flow process. The revenue cycle specialist will follow up on claims not paid, underpaid, and / or denied. Identifies root cause denial trends and prepares appropriate appeals as required. CPT / HCPCS certified with billing institutional knowledge, revenue, and diagnosis codes, and Understands insurance terms, denial terms as well as how to interpret an explanation of benefits (EOB) is essential for this role. Shift : Full-time, Days (0800-1630), Mon-Fri Requirements Associate degree in business or related field preferred. 3-5 years of recent experiencein a healthcare setting working directly within the revenue cycle process, preferably as a revenue cycle specialist. Knowledge and understanding of payor portals, denials, appeals, payer contract verbiage and interpreting explanation of benefits (EOB). Must understand revenue codes, diagnosis codes, be CPT / HCPCS, and have institutional billing knowledge. NKC utilizes Microsoft Suite, Time, DocuWare, and Clarity. Experience with resolving credit balances / payer refunds desired. Skill sets to include 10-key by touch, typing a minimum of 25 words per minute (WPM), and general skills in word processing and spreadsheet applications. Ability to prioritize work activities with minimal supervision, in an individual and team setting environment. Strong written and verbal communication, analytical thinking, attention to detail and problem-solving skills. Easily adapts to change. Ability to learn and utilize various software applications and information systems to perform work responsibilities. Duties and Responsibilities
- Researches patient questions about accounts, adjusts patient accounts, responds to written correspondence from patients.
- Performs patient account collections and billing tasks, which includes maintaining patient account records. Keeps patient account balances up to date, corresponds with insurers, follows up on unpaid bills.
- Verifies and / or corrects billing matters. Researches and reconciles credit balances. Ensures efficient processing of denials and appeals.
- Facilitates resolution to any claims problems and follows up on balances due from insurance companies.
- Provides patient account billing information to patients, insurers, hospital billers, doctor’s office representatives, etc., in accordance with organizational policies and procedures.
Benefit offerings for eligible employees (.6-1.0 FTE) :
About Northwest Kidney Centers : Founded in 1962 as the world’s first outpatient dialysis provider, Northwest Kidney Centers operates 20 dialysis clinics across the Puget Sound region in addition to hospital-based services and a large home-based dialysis program. We are a not-for-profit, community-based organization and consistently rank among the top dialysis providers in the United States in quality of care, patient outcomes and transplant rates.At Northwest Kidney Centers, teamwork, integrity, respect, excellence and stewardship guide our approach to how we work. We differentiate ourselves by our patient centered approach and active commitment to advancing kidney research and dialysis innovation. Key to our success is the compassion and expertise of our dedicated team of staff that care for those we serve.
Salary : $4,000
