Revenue Cycle Specialist
Revenue Cycle Specialist
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5years
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
This is a remote position.
About the Role
HerMD is seeking a full time Revenue Cycle Specialist to be responsible for medical billing oversight employee and patient questions related to insurance and billing and serves as the primary escalation point for outsourcing partner(s) regarding billing payment posting A/R followup for healthcare claims and timely resolution of patient balances. The Revenue Cycle Specialist ultimately reports to the Chief Financial Officer.
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.
Requirements
Required Ss
- 5 years of medical billing experience
- Experience in patientfacing interactions (e.g. customer service scheduling / registration or billing)
Preferred:
- 5 years of medical billing experience in Gynecology
- Surgical coding experience
- Experience in multiple EMRs and Practice Management systems (EPIC Klareo ModMed)
Benefits
Benefits
- 401k Safe Harbor Match Plan
- Health Dental and Vision Insurance
- Voluntary Short Term Disability (STD) and Long Term Disability (LTD)
- Life Insurance
- Paid Time Off (PTO) & Paid Holidays
Must-Haves * Minimum High School Diploma or General Education Development (GED) * At least (3) three years of experience in billing and medical claim processing in healthcare, insurance, or related industries * Knowledge of medical terminology, CPT and ICD-9 & ICD-10 Coding, HCPCS coding, electronic billing, CMS-1500 claim forms, HIPAA, & State and Federal guidelines * Exceptional attention to detail and accuracy
Education
Preferred * Direct customer service or patient service experience * Working knowledge of Electronic Health Record (EHR) systems * Knowledge of Medicare, Medicaid and Private insurance billing regulations Essential Ss * Excellent written and oral communication ss * Ability to handle sensitive information confidentially and work independently * Strong multitasking & problem solving ss with a positive attitude
Employment Type
Full Time
