What are the responsibilities and job description for the Revenue Cycle Specialist position at The Kidz Club?
Job Description
Job Description
REVENUE CYCLE SPECIALIST
TITLE : Revenue Cycle Specialist
REPORTS : Senior Director of Revenue Cycle
STATUS : Exempt
JOB SUMMARYThe Revenue Cycle Specialist is responsible for managing patient billing accounts, ensuring accurate and timely submission of insurance claims, and maintaining compliance with healthcare regulations. This role requires an understanding of medical terminology and insurance processes. The Specialist plays a crucial role in ensuring the billing process is conducted with precision, efficiency, and in accordance with established timelines.
QUALIFICATIONS
- Knowledge of medical terminology
- Excellent attention to detail and organizational skills.
- Strong communication and problem-solving skills.
- Knowledge of insurance procedures, Medicaid, and private insurers.
- Ability to work independently and as part of a team in a fast-paced environment.
RESPONSIBILITES AND DUTIES
Insurance Verification : Confirm patient insurance details and eligibility for coverage.
Coding : Assign appropriate codes to patient services based on medical records.
Claims Submission : Prepare and submit accurate medical claims to insurance companies and payers.
Documentation : Maintain detailed records of patient accounts, billing activities, and progress in the EMR system.
Compliance : Ensure all billing practices adhere to healthcare regulations (such as HIPAA) and industry standards.
Reporting : Generate and review billing reports, track revenue, and provide updates to management.
Additional Duties : Complete additional tasks or projects as delegated by management.
WORK CONDITIONS
Physical demands
Work environment
POSITION AVAILABLE
BENEFITS
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