Revenue Cycle Specialist

Why you’ll want to work at nimble!

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

About the role

We are currently seeking a Revenue Cycle Specialist with a grat work ethic to manage the revenue cycle process, including pre-submission review, claim submission, and follow-up. Under the direction of the Billing Manager, this role will be instrumental in ensuring timely claim submission, follow-up with payers, and handling billing discrepancies.

Key Responsibilities

• Insurance verification, reviewing submitted claims for accuracy and completeness, investigating and resolving claim denials by analyzing documentation and using appropriate CPT and ICD-10 codes
• Working on insurance appeals and correcting claim information, and working closely with providers, coders, and administrative staff to ensure accurate documentation and billing
• Provide timely billing and reimbursement for services while maintaining compliance with industry regulations
• Utilize and navigate through all available portals for claim information
• Responsible for tracking and documenting follow-up activities to ensure completion of work and provide updates regularly
• Navigate the complexities of healthcare billing and insurance systems to optimize revenue flow

Qualifications and Skills required

• A High School diploma or equivalent
• A minimum of 3 years of medical billing experience
• Out-of-network billing experience strongly preferred
• Strong communication and interpersonal skills
• Excellent attention to detail and organizational skills
• Must be flexible and adaptable to various work environments
• Must be computer proficient