Revenue Cycle Specialist I BAR-Medicaid

Responsibilities

• Billing claims according to Federal/Managed Care rules, regulations and compliance guidelines.
• Perform patient account research and resolution.
• Insurance verification and benefits determination.
• Identification of reimbursement issues and resolution of credits and issuance of refunds.
• Identification of payment variance invoices and follow-up resolution.
• Resolution of denied claims.

Qualifications

• High School Diploma or equivalent required.
• Minimum of six (6) months of healthcare billing, collections, revenue cycle, or financial experience required; OR minimum of one (1) year of experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions.
• Working knowledge of CPT and ICD-10 coding.
• Knowledge of federal, commercial, and managed care billing rules, regulations, and compliance requirements.
• Epic system experience preferred.