Revenue Cycle Specialist

Job Description

Job Description

Description :

Revenue Cycle Specialist - Remote

MedMan is based in Boise, Idaho and provides billing support to various independent medical practices located in several states.

We are in search of a Revenue Cycle Specialist to join our team. This is an exciting opportunity for someone who enjoys being challenged, excels at multi-tasking, is organized and experience in medical practice billing.

Responsibilities

Preparing, reviewing, and transmitting clinical charges, including updating procedure and diagnosis codes in computer files, coordinating reports, maintaining fee schedules, and the posting of payments.

Balancing a daily input and accounts receivable system

Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

Reviewing patient bills for accuracy and completeness and obtaining any missing information.

Checking each insurance payment for accuracy and compliance with contract discount.

Contacting insurance companies regarding any discrepancy in payments if necessary.

Researching and appealing denied claims.

Answering patient and insurance telephone inquiries pertaining to assigned accounts.

Collecting delinquent accounts by establishing payment arrangements with patients and following up with patients when payment lapses occur.

Remaining alert to special billing rules and communicating those to appropriate individuals

Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Maintaining and updating contract and credentialing information with insurance payers on behalf of providers and clinics.

Skills

Familiarity with CPT and ICD-10 coding

Competent use of computer systems, software, and 10 key calculators

Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections

Skills in organizing and reporting data that is accurate, complete, and accessible to other employees

Portrays a calm manner and patience working with either patients, providers or insurers during the billing process

Excellent customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.

Displays professionalism in their demeanor and in their communication verbally and written

Demonstrates the ability to handle a fast-paced environment by portraying strong multi-tasking skills

Demonstrates the ability to prioritize tasks / responsibilities and complete duties within the allotted time.

Willing to seek out new methods and principles and be willing to incorporate them into existing practices.

Strong attention to detail and organizational skills

Provides consistency and timeliness in attendance

Willingness to be cross trained in different tasks

Requirements : Requirements :

Requirements :

High school diploma; some college preferred

Two years’ experience in a medical practice billing

Proficiency in MS Office

EHR experience required

eCW or athenaHealth preferred