Revenue Cycle Specialist

Employer Industry: Healthcare Services

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on the healthcare industry
• Work with a dedicated team focused on improving business practices for Ob-Gyn providers
• Engage in meaningful work that supports healthcare professionals in their mission to provide care

• Resolve Accounts Receivable and Collections, including reviewing, following up, and appealing denied claims
• Determine the accuracy of insurance payments and follow up on discrepancies
• Initiate, follow up, and respond to payer reimbursement issues
• Communicate with practices and payers regarding claim denials and payer trends
• Conduct analysis and quality reviews of work completed by third parties and generate reports as needed

• High school diploma or equivalent; post-secondary degree preferred
• Minimum of 2 years current experience interpreting insurance explanations of benefits and patient benefit plans
• Minimum of 2 years current experience working with medical claims, billing, collections, and appeals; OB/GYN specialty preferred
• Experience working with healthcare practice management systems
• Proficiency in Microsoft Office, particularly Microsoft Excel

• Experience with cloud-based Customer Relationship Management (CRM) technology
• Knowledge of commercial and governmental insurance payer and clearinghouse portals
• Working knowledge of Medical Billing & Coding; certification preferred