Revenue Cycle Specialist

The position supports the companys overall Billing operations by efficiently and effectively providing account data needed for the revenue cycle process and delivering results. Must have knowledge of billing operations and procedures insurance contract review and participate in quality assurance and compliance.

Duties:

• Responsible for all aspects of Accounts Receivable encompassing charge entry claims submissions payment posting accounts receivable followup and reimbursement management
  
• Serves as the practice expert and go to person for all coding and billing processes
  
• Plans and directs patient insurance documentation workload coding billing and collections and data processing to ensure accurate billing and efficient account collections
  
• Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
  
• Prepares and analyzes accounts receivable reports
  
• Collects and compiles accurate statistical reports
  
• Audits current procedures to monitor and improve efficiency of billing and collections operations
  
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol
  
• Participates in the development and implementation of operating policies and procedures
  
• Maintains a working knowledge of all health information management issues such as HIPAA and all healthcare regulations
  
• Establish and maintain effective working relationships with patients and staff
  
• Maintain regular and punctual attendance time off restrictions around each month end period due to reporting requirements (last week of the month and first three business days of the next month)
  
• Perform other duties as needed
  

Requirements

Benefits