Revenue Cycle Specialist
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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 #J-18808-Ljbffr
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