Revenue Cycle Specialist
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Description
Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.
Job Type
Full-time
Description
Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.
Duties / Responsibilities
- Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
- Review and research insurance denials received through insurance remittances, correspondence, or Clearinghouse rejections in an accurate and timely manner.
- Provide timely and efficient follow-up on all outstanding AR using assigned by the practice management worklist reports, using various systems including payer portals, phone inquiries, and/or written communications.
- Ensure timely communication of denials or trends that require the practice's knowledge and/or actions.
- Work collaboratively with other RMC team members and offices to ensure overall account accuracy and issue resolutions are completed.
- Effectively communicate payer billing guidelines to clients and other staff in a timely manner.
- Consistently meets and/or exceeds client AR objectives in each outstanding aging category (30,60,90+) Work denials and worklist within 24 hours of receipt.
- Performs other related duties as required and assigned.
Requirements
- Good working knowledge of medical terminology and anatomy is required.
- Knowledge of current third-party billing and collection regulatory guidelines and requirements.
- Good interpersonal skills and a basic understanding of team management concepts.
- Ability to gather and interpret clinical data.
- Ability to work independently in a fast-paced environment.
- Demonstrate excellence in communication skills, ability to convey information verbally and in writing
Education And Experience
- A high school diploma or GED completion is required.
- Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment.
- Two (2) years experience with CPT ICD-10 coding of physician services preferred.
Benefits
- Competitive Salary $19 - $21
- Medical, Dental, and Vision Insurance
- Robust Ancillary Benefits
- 401(k) Plan with employer contribution
- Company Paid Life Insurance
- Generous PTO/Holiday
- EEO Statement
Salary Description
$19 - $21
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