Revenue Cycle Billing Specialist

Remote- Work From Home, Jackson, Jackson, Michigan, United States

Non-Exempt

Job Description

Title:

Revenue Cycle Billing Specialist Location:

USA/Remote Reports to:

Revenue Cycle Supervisor/Team Leader FLSA Classification:

Non-Exempt Full-Time or Part-Time:

Full-Time Salary Range:

$22.00-$26.00

Starting pay varies based on location and experience, in compliance withspecific state wage regulations. Competitive rates tailored to your geographyand expertise.

Position Overview:

The Revenue Cycle Billing Specialist performs day-to-day billing andrevenue cycle activities. This position supports accurate and timely claimsubmission, payment posting, accounts receivable follow-up, and resolution ofbilling discrepancies to promote timely reimbursement and maintain accuratepatient and payer account information. The specialist works collaborativelywith internal teams, payer representatives, and client practice personnel toresolve routine billing issues and elevate complex matters as appropriate.

Key Responsibilities:

Processoutpatient charges and claims in accordance with established billingprocedures, payer requirements, and organizational policies.

Reviewpatient registration, demographic, and insurance information for accuracyand completeness to support clean claim submission.

Submitclaims and follow up on outstanding accounts to support timelyreimbursement.

Researchand resolve routine claim rejections, denials, underpayments, and billingdiscrepancies; elevate complex issues to the Revenue CycleSupervisor/Team Leader as appropriate.

Assistwith payer correspondence, appeals, reconsiderations, and refundrequests.

Postpayments and deposits and process adjustments or refunds, as assigned, inaccordance with established procedures and financial controls.

Monitorassigned accounts receivable and follow up on unpaid or underpaid claims.

Collaboratewith the Revenue Cycle Supervisor/Team Leader to address payer issues andbilling concerns.

Participatein internal and external audits by providing supporting documentation andassisting with the resolution of identified discrepancies.

Coordinatewith patient financial services and collection agencies regarding patientaccounts and outstanding balances, as applicable.

Communicatewith client practice personnel regarding billing inquiries, patientaccount concerns, and requests for additional information.

Maintainaccurate documentation of billing activities, claim follow-up, andaccount resolution.

Providephone coverage and respond to billing-related inquiries in a timely andprofessional manner.

Followapplicable organizational policies, payer requirements, and patientprivacy and compliance standards.

Performother related duties as assigned.

Qualifications:

One tothree years of medical billing, revenue cycle management, or relatedhealthcare administrative experience preferred.

Familiaritywith outpatient professional billing, claim submission, payment posting,payer follow-up, and patient account resolution preferred.

Workingknowledge of Microsoft Office applications and the ability to learnbilling and practice management systems.

Strongorganizational skills, attention to detail, and ability to managemultiple priorities.

Effectivewritten and verbal communication skills and a customer-focused approach.

Demonstratedproblem-solving skills and the ability to resolve routine billing issueswithin established procedures.

Abilityto work collaboratively with internal teams, payer representatives, andclient practice personnel.

Associatedegree in healthcare administration, business administration, or arelated field preferred, but not required.

Additional information:

[Flexibilityin working hours, travel for XYZ, etc.]

Thisdescription is intended to provide only basic guidelines for meeting jobrequirements. Responsibilities, knowledge, skills, abilities, and workingconditions may change as needs evolve.

CoronisHealth is committed to creating a diverse and inclusive environment where allemployees are treated fairly and with respect. We are an equal-opportunityemployer, providing equal opportunities to all applicants and employeesregardless of race, color, religion, sex, sexual orientation, gender identity,national origin, age, disability, or any other protected characteristic. Wewelcome and encourage applications from candidates of all backgrounds.

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