Revenue Cycle Specialist I

Job Description

Job Description

Description :

Job Summary : Do you have experience working in hospital registration, billing and / or accounting systems? Do you have a strong knowledge of claim denial management, medical terminology, and patient health records? If this sounds like you, Nemadji wants you to join our team of dedicated individuals working hard to make a difference for healthcare facilities and the patients they serve!

The Revenue Cycle Specialist is responsible for advanced account verification, eligibility inquiries, obtaining proof of coverage and authorizations from payers and billing claims.

Job Responsibilities :

• Perform advanced verification of account statuses to determine appropriateness for billing.
• Request and obtain documentation of patient’s coverage via phone calls, web inquiries, and written requests.
• Perform data entry for selected project functions and communicate effectively with external entities such as payers, Social Security, etc.
• Add coverage to client systems and initiate claim submission. Monitor account activity for payment or denial.
• Perform follow up on denied or underpaid claims.

Requirements :

Education : High School Diploma

Required Experience : A minimum of 2 years' experience in medical billing and working claim denials.

Required Qualifications and Skills :

This is a full-time hourly position with a fantastic benefits package!

$18.67 - $24.89 per hour based on experience

EEO / AAP Employer / Drug Free Workplace