Revenue Cycle Specialist

Revenue Cycle Specialist I The Revenue Cycle Specialist I (RCS-I) is responsible for a variety of claims management functions including but not limited to supporting front-end revenue cycle and pre-billing functions. The RCS-I works under the direct supervision of the Accounts Receivable Manager. This role is responsible for ensuring patient accounts are complete, accurate, and ready for claim submission by verifying demographic information, insurance coverage, and required documentation. The RCS-I would be eligible for a hybrid remote work schedule at the completion of six months of successful employment. Role and Responsibilities: Verify patient demographic data for accuracy and completeness. Confirm any insurance coverage and eligibility. Ensure required documentation is attached including facesheets, PCRs, and CMNs. Perform pre-billing quality checks prior to coding and claim submission. Identify missing or conflicting information and route for correction. Communicate with internal teams or facilities to obtain documentation. Prepare accounts for coding and clean claim submission. Manage inbound customer calls. Maintain productivity and accuracy standards. Adhere to all HIPAA regulations and compliance guidelines. Demonstrate a strong commitment to workplace safety by identifying hazards, reporting risks, and supporting continuous safety improvements. Adhere to all company safety policies, procedures, and regulatory requirements while actively promoting a safe and compliant work environment. Collaborate with team members to uphold safety standards and foster a culture of safety across all operations. Other duties as assigned. Qualifications and Education Requirements: Must be 18 years old or older at time of hire for insurance purposes Graduation From High School or equivalent Customer service experience Ability to view computer monitor for extended periods (more than 8 hours) Ability to remain composed and multi-task in a busy, high-pressure environment. Ability to comprehend or learn department practices, rules, and regulations quickly. Ability to operate telephone and other specialized computer communication equipment. Ability to learn new software. Ability to speak clearly, concisely, and respectfully. Ability to communicate effectively with a diverse population, including medical professionals. Ability to think and react quickly and effectively in tense situations. Ability to follow written and oral instructions. Ability to recall details from numerous informational resources. Ability to prioritize decisions based upon multiple criteria and identifiable standards of policies and procedures. Maintain a reliable attendance record and be punctual daily. Pass background investigation. Pass a pre-employment drug screen and all subsequent random or for cause drug screenings. Ability to lift up to 25 lbs. Ability to speak, read, and write English Preferred Skills: Medical office and billing. Knowledge of payor types Medicare, Medicaid, private insurance Proficiency in Microsoft Office Suite