Revenue Cycle Specialist

About The Job

We are seeking a detail-oriented Revenue Cycle Specialist to join our growing team!

• Ensure that insurance information is entered correctly for successful claim submission and payment.
• Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file.
• Work in multiple computer systems to obtain and organize information to support billing.
• Resolve claims that require pre-bill resolution.
• Resolve payment denials.
• Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds.
• Conduct reconciliation processes, ensuring no charge goes uncaptured.
• Manage communications between practice and vendor staff and organizations.
• Reports status of various revenue cycle metrics and escalates issues for resolution.
• Aids in preparation of reports to share with payers when discrepancies are uncovered.

What You’ll Need

• A high school diploma or GED preferred.
• 3+ years experience in the industry required.
• Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes.
• Certified Professional Coder preferred.
• Strong understanding of Insurance products and claim processing.
• Knowledge of claim formatting and transmission guidelines.
• Detailed understanding of EOB/ERA data and impact on financial responsibility.
• A passion and proficiency for patient advocacy.
• Knowledge of ICD-10 and CPT codes, and modifiers.
• Experience with medical office procedures and medical collections.
• Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top).
• Strong attention to detail and accuracy in data entry.
• Intermediate knowledge of Microsoft Word and Excel.
• Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers.

Work Location

Remote: Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.

Additional Information

• Full-time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision.
• Pay is negotiable depending on certifications.