Revenue Cycle Specialist

Responsibilities

• Prepare medical bills review service charges and verify patient insurance.
  Identify build and maintain billing and claim edits to ensure accurate claim submission.
  Primarily responsible for answering HerMD practice insurance questions as well as patient billing inquiries.
• Serve as escalation point for outsourcing partner(s) in order to quickly and accurately respond to billing questions payment posting and A/R resolution.
  
• Collaborating with patients to ensure patient responsibility is remitted timely including setting up payment plans for outstanding balances.
  
• Address revenue cyclerelated correspondence and work with payers to convert to electronic communications including new EDI enrollments.
  
• Perform regular chart and claim audits to ensure compliance with billing and coding best practices.
  
• ist in root cause ysis and resolution to minimize denials.
  
• Reconcile patient balances and generate regular patient statements.
  
• Work precollections reports and ist with internal collections efforts as needed.
  
• ist with additional tasks as needed including pointofsale entries processing patient payments posting of contractual and other adjustments managing existing patient payment plans and financial reconciliation process.