Revenue Cycle Specialist Ancillary

Position Summary: Under direct supervision of the Revenue Cycle Ancillary Manager, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for advanced imaging services. The ideal candidate would have a strong understanding of medical claims billing. Research and resolve claims denials using the appropriate resourcesCheck that pre-bill claims are passing internal edits in a timely fashionMonitor that all denied claims are corrected or appealedCollaborate with other teams within the business officeProvide appropriate feedback to management. Qualifications High School Diploma or general education degree2 – 4 years of physician office billing and denial management experience requiredBasic Understanding of ICD10, CPT/ HCPCSAbility to read and interpret explanation of benefits (EOBs)Knowledge of Medical Assistance, Medicare Part B and commercial insurance productsFamiliar with CMS 1500Basic understanding of medical terminology and anatomy. Athena experience strongly preferredExcellent communication skills both written and verbalMust be a self-starter that is detail oriented and capable of multi-taskingRequires comprehensive knowledge of computer skills including Microsoft Office Suite Key Responsibilities Performing collection activities, such as status calls to ensure timely reimbursement, appeals and account review.Ensuring appropriate information is submitted to insurance companies in order to expedite payment.Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal.Determine that appropriate information is submitted to insurance companies in order to expedite payment.Following up on assigned cases from within the organizationReviewing pre-bill claim holds to verify that the claim goes out clean the first timeComposing appeals to insurance carriers for denied claimsHandle incoming calls for information request from insurance companies within 24 hours.Assisting Financial Counselors when patients have questions regarding claimsCorrects accounts that are billed to incorrect insurance companies.Ensures authorizations are attached to claimsComply with quantity and quality expectations as provided by managementAll other duties as assigned Orthopaedic Solutions Management is a Drug Free Workplace We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.