Revenue Cycle Specialist

About the Job

We are seeking a detail-oriented Revenue Cycle Specialist to join our growing team! The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services. We seek an organized critical thinker with billing knowledge and who is comfortable working with providers, insurance companies, and in a fast-paced environment. This role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth.

• Ensure that insurance information is entered correctly for successful claim submission and payment.
• Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file,
• Work in multiple computer systems to obtain and organize information to support billing
• Resolve claims that require pre-bill resolution
• Resolve payment denials
• Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds
• Conduct reconciliation processes, ensuring no charge goes uncaptured
• Manage communications between practice and vendor staff and organizations
• Reports status of various revenue cycle metrics and escalates issues for resolution.
• Assists in preparation of reports to share with payers when discrepancies are uncovered.

• High school diploma or GED preferred
• 3+ years experience in the industry required
• Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes
• Certified Professional Coder preferred
• Strong understanding of Insurance products and claim processing
• Knowledge of claim formatting and transmission guidelines
• Detailed understanding of EOB/ERA data and impact on financial responsibility.
• A passion and proficiency for patient advocacy.
• Knowledge of ICD-10 and CPT codes, and modifiers
• Experience with medical office procedures and medical collections
• Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top)
• Strong attention to detail and accuracy in data entry
• Intermediate knowledge of Microsoft Word and Excel
• Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers

Remote:
Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.

Full-time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision. Pay is negotiable depending on certifications.