Be part of a renowned team at Silverado, a Fortune Magazine Best Workplace in Aging Services ™, where exceptional care meets exceptional careers! Silverado Associates take pride in knowing the world is a better place because of what we do and feel fortunate to be part of a dedicated team. We have the chance to learn every day, the opportunity to grow, and the ability to help others.
We are currently seeking a Physician Revenue Cycle Specialist to join our team!
The Physician Revenue Cycle Specialist is responsible for managing the full revenue cycle process, ensuring accurate and timely reimbursement for services. This includes eligibility verification, authorizations, medical coding, claim submissions, and outstanding accounts receivable management. The Specialist collaborates with clinical intake and revenue cycle teams to maintain compliance and resolve discrepancies while meeting productivity and accuracy expectations.
Fully Remote
Why choose Silverado?
- We're ranked 6th nationwide by Fortune Magazine in their Best Workplaces in Aging Services list, marking our 3rd consecutive year in the top 10!
- Certified as a Great Place to Work® for seven consecutive years
- We value internal mobility; Silverado provides growth opportunities for just about any position on our teams
- We offer paid training!
Qualifications :
High school diploma or equivalentCPC Certification requiredMinimum of 5 years' experience in physician billing, including Medicare CMS-1500 claimsProficiency in payer portal navigation (e.g., Noridian)Experience with CPT / ICD-10 coding (CPC certification preferred)Experience in writing and submitting appeals with successful outcomes in overturning denialsProficient in medical terminology, coding systems (ICD-10, CPT), and EHR systemsStrong analytical skills to evaluate outstanding claims and determine actionExcellent communication and interpersonal skills for collaboration and problem resolutionHigh proficiency in Microsoft Word and ExcelAbility to work in an office environment with prolonged periods of sitting and computer usOccasional lifting of up to 10 pounds may be requiredAssociates must have reliable means of transportation to consistently meet attendance and punctuality standards. This role does not require a valid driver's license or personal vehicle unless specified in additional job requirementsWhat you'll be doing :
Work directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain authorizations, and ensure timely reimbursement of servicesWork with program leadership and contracted partners to address authorization requirements and discrepanciesSubmit authorization requests via portals, fax, or other approved methods, ensuring proper documentation of CPT codes, service units, and date rangeUtilize ICD-10, CPT, and HCPCS systems for accurate classification of diagnoses and proceduresReview provider chart notes to extract appropriate codes and apply modifiers as neededConduct prebilling reviews, process claims, and submit medical billing to insurance companies and patientsAnalyze unpaid claims and take necessary action to secure reimbursementManage collections and address denials or underpayments, including writing appeals with successful outcomesCommunicate with healthcare providers to resolve discrepancies in records or billingMaintain up-to-date knowledge of billing regulations and compliance standardsAssist the payment posting team and contribute to special projects as neededMeet productivity standards with low error ratesConsistently prioritize and organize tasks to meet deadlinesPerform other duties and projects as assignedLI-Remote
LI-MH1
Anticipated pay range
28-$38 USD
We are looking for someone who :
Loves peopleHas compassion and patienceIs comfortable working around animals and petsA quick learner who is dedicated to professional growthIs ethical, honest, dependable, and open-mindedIs an effective communicator in both verbal and written EnglishSilverado offers the following benefits to eligible employees :
401(k) matchingHealth, Dental and Vision InsuranceFlexible Spending Account (FSA), Health Savings Account (HSA)Paid time offTuition reimbursement and professional development assistanceReferral programOther amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs!Silverado is not using outside recruiters to source for this position and will not accept agency or non- Silverado recruiter represented candidates in connection with this job posting.California Employees : For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law.
To view California Consumer Privacy Act (CCPA) information, please visit this page : https : / / www.silverado.com / legal-disclaimers / #Consumer-Privacy-Act-Disclosure
To maintain our world class standard, all offers of employment with Silverado are contingent upon a satisfactory background check as well as drug screening, a physical and TB testing (if required for the position). Silverado also uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security.
EOE / M / F / D / V
Salary : $28 - $38
