Revenue Cycle Specialist

About This Role

Working to correct, complete, and process claims for all payer codes is the main purpose of this role, which also involves generating reports from the EHR. The specialist manages accounts receivables from the initial drop until payment is received, covering commercial, government, and self-pay accounts.

Responsibilities

• Review patient bills for accuracy and completeness and obtain any missing information prior to submission
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments, if necessary
• Identify and bill secondary or tertiary insurances
• Review all accounts for insurance or patient follow-up
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts

Requirements

• High School diploma or equivalent
• One (1)+ year experience in a medical setting
• Knowledge of all payer codes
• Knowledge of medical terminology and billing practices
• Ability to communicate in an active multi-office environment
• Ability to efficiently operate all job-related office equipment
• Ability to follow or provide verbal and written instructions
• Basic to intermediate computer operation
• Mathematical and/or analytical ability for basic to intermediate problem solving
• Detail oriented, professional attitude, reliable
• Specialty knowledge of systems relating to job function

Nice to have:

• Dermatology practice experience
• Associate degree in Business Administration, Accounting or Health Care Administration

Benefits

• Medical, dental, vision, health savings account
• Paid time off
• 401K with company match
• Disability and life insurance
• Consistent day shift, Monday-Friday schedule
• Employee assistance program
• Free parking
• Employee referral program

Important Details

• Supervisory responsibilities: None