Revenue Cycle Specialist

Job Duties / Responsibilities Monitor held billing and coordinate resolution of related issues to ensure timely claim submission Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed Understand and actively follow up on outstanding accounts receivable to minimize aging Work all assigned and denied claims promptly and accurately Assist in preparing and submitting appeals and reconsiderations to payers Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues Communicate with payers to obtain claim status and resolve outstanding balances Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested Assist with special projects, audits, or process improvement initiatives as assigned Identify trends related to denials/coding and delinquent claims and communicate effectively with client manager for feedback to the client Identify system/payer issues such as rates, codes, set up and coordinate accordingly Report status of accounts and issues to appropriate supervisors and departments – always maintains full transparency of accounts Follow requirements through the full cycle until accounts are satisfied, including patient collections and appeals Document, process and coordinate all write offs and adjustments as needed Work with contracting team and management to resolve payer issues Work with branches for all questions on accounts Attend regular meetings with teams and management to ensure open communication Perform other duties as assigned Requirements Excellent verbal, written and computer communication skills Able to communicate across all levels of authority within company Excellent organization, problem solving, and project/time management skills Able to work with multiple teams within the organization to promote viable, ethical, and cost-effective solutions Proven track record of successful collections Able to effectively deal with change Able to complete projects within specific timetables Able to successfully interact with people in face‑to‑face situations as well as by telephone in a professional and effective manner Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions #J-18808-Ljbffr