Job Description

Revenue Cycle Specialist $18.00-$19.00/hr Job descriptionPosition Purpose: The Revenue Cycle Specialist role is to provide support to the organization to address all revenue cycle management needs. This includes identifying trends that would impact revenue, work on patient claims, follow up on denial and rejection related issues, and work on special projects as needed. EOB experience. Skills / Ability: Ability to work as a team member. Must have clerical skills. Must have knowledge of math, operation of calculator, telephone etiquette, human relation skills and organizational skills. Must be computer literate. Demonstrate effective oral and written communication skills. Familiar with Managed Care Contracts, Medical Terminology, ICD-10, and CPT Codes. Knowledge of collections processes and procedure. POSITION RESPONSIBILITIES Monitor patient account details for billing related issues. Reporting claims status to clients on a regular basis to ensure accurate communication between departments within a healthcare organization. Knowledge of payer guidelines and policies. Access and navigating through various payer portals for claims reconsideration and processing. Follow up on unpaid claims, appeals of denied claims and post payments/adjustments accordingly. Follow up with all outstanding AR projects as directed by Management..Provide help with the insurance verifications.Receive and submit authorization forms Performs other duties as assigned, QualificationsHigh School Graduate or GED required.At least two (2) years work experience in a healthcare front office setting Knowledge of Medicaid / Medicare insurance, collections, and Explanation of Benefits (EOB)Must have experience in healthcare Billing and Revenue Cycle operational workflowAbility to work as a team memberMust have clerical skillsMust have knowledge of math, operation of calculator, telephone etiquette, human relation skills and organizational skillsMust be computer literateDemonstrate effective oral and written communication skills