Specialist, Revenue Cycle

Job Description

Job Description

Position Summary

The Revenue Cycle Specialist will be responsible for the day-to-day operation in the following areas : billing, claims resolution, A / R follow-up, credit balance, EDI billing, or posting. Under the direction of the Manager the Specialist will be responsible for handling all functions related to the designated area and any other duties assigned by management.

Duties and Responsibilities

• Responsible for claim submissions to both government and commercial payors in accordance with all insurance regulations and requirements.
• Provide all necessary documentation required by payors to resolve claim issues or denials, including medical records, prior authorizations, audits, etc.
• Analyze and research all denials and over or under payments.
• Ensure all payor correspondence is reviewed and followed up on immediately.
• Timely posting of all cash receipts and reconcile statements daily.
• Provide exceptional customer service and communication to patients and resolve any accounts receivable requests in a timely and accurate manner.
• Communicate any issues to the Revenue Cycle Manager
• Please Note : The list of responsibilities detailed above is not a comprehensive list, nor is it intended to be a list of all responsibilities and duties of the RCM specialist.

Experience, Skills and Education

While performing the essential functions of the job the employee may work remotely dependent upon the company and / or department’s policies.

FastMed reserves the right to revise and amend job descriptions at any time.