What are the responsibilities and job description for the Revenue Cycle Specialist position at Southern Gastroenterology Associates,?
Job Description
Job Description
Job Summary
We are seeking a detail-oriented and organized Revenue Cycle Specialist to join our Medical Practice. The Revenue Cycle Specialist will perform overall revenue management including satisfying timely filing requirements, maximizing billing revenue and collections, and resolution of denied / rejected claims. The Revenue Cycle specialist will work closely with healthcare providers, insurance companies, and patients to facilitate timely and accurate billing. You must have 5 years of proven medical billing and revenue cycle experience and ICD-10 knowledge.
Responsibilities
- Monitors monthly aging reports and conduct follow-up on unpaid claims and take appropriate action to correct and re-bill for reimbursement.
- Identifies, researches and resolves system issues through direct contact with payers and software vendors.
- Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance, and best practices for FQHC billing.
- Develops, implements, and maintains revenue cycle standard operating procedures (SOPs).
- Research and maintain billing compliance and regulations, primarily for FQHC Medicare and Medicaid.
- Assist with credentialing providers and contract negotiations
- Performs regular audits of daily billing reports to identify coding and billing errors. Work with billing specialists and other office staff to address; notify on-site management of problems and troubleshoot as needed.
- Monitors A / R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.
- Works closely with the Practice Management System vendor to identify and work to resolve systemic issues.
- Provides training as required to on-site staff regarding billing and other revenue cycle related tasks, standard operating procedures (SOPs).
- You will work closely with other members of the management team, develop continuous process and priorities for quality.
- Ensure compliance with HIPAA and other regulations
- Review reports and conduct audits
- Improve relations with patients and other customers
- Ensure accurate coding and apply coding guidelines
Skills
If you are passionate about healthcare administration and possess the necessary skills to excel as a Revenue Cycle Specialist, we encourage you to apply for this opportunity to contribute to our team’s success in delivering quality patient care through efficient billing practices.
