Revenue Cycle Specialist

Job Description

Job Description

REVENUE CYCLE SPECIALIST

FLSA : NON - EXEMPT

Duties / Responsibilities :

• Generate and process accurate invoices for services provided.
• Ensure all billing information is complete and accurate, including service codes, charges, and patient information.
• Review and verify revenue cycle data for errors or inconsistencies and correct them as needed.
• Monitor accounts receivable and track outstanding payments to ensure timely collection.
• Reconcile payments and resolve any discrepancies in accounts.
• Coordinate with patients or insurance companies to resolve billing issues and follow up on unpaid invoices.
• Handle billing for Medicare, Medicaid, and private insurance, including submitting claims and verifying insurance eligibility.
• Ensure compliance with insurance reimbursement regulations and follow up on denied, appeals and delayed claims.
• Review any claims aged over 90 days.
• Prepare and submit claims with proper coding (CPT-4, ICD-10) and documentation as required.
• Maintain accurate financial records, including invoices, payment histories, and billing reports.
• Scan and maintain electronic images of paper remittance vouchers.
• Assist in audits by providing necessary financial documentation and reports.
• Ensure billing practices comply with company policies, government regulations, and industry standards.
• Ensure revenue cycle practices comply with SCHC policies, government regulations, and industry standards.
• Communicate with patients to clarify billing information, resolve discrepancies, and update account details.
• Provide customer support regarding billing questions and payment options.
• Work closely with internal teams such as finance, customer service, and management to address billing-related concerns.
• Prepare regular reports on revenue cycle performance, outstanding accounts, and collection efforts.
• Analyze billing data to identify trends, inefficiencies, and areas for improvement.
• Recommend and implement process improvements to enhance the accuracy and efficiency of revenue cycle operations.
• Use revenue cycle software and electronic medical record (EMR) systems to process and manage revenue cycle
• Perform additional tasks as needed to support the centers.

Required Skills / Abilities :

Education and Experience :

Physical Requirements :

Job Posted by ApplicantPro