Revenue Cycle Specialist-Remote
Orthopaedic Solutions Management
- Remote job
Job Description
Job Description
Position Summary:
Under direct supervision of the Revenue Cycle Supervisor, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for physician billing. The ideal candidate would have a strong understanding of medical claims billing.
Research and resolve claims denials using the appropriate resources
Check that pre-bill claims are passing internal edits in a timely fashion
Monitor that all denied claims are corrected or appealed
Collaborate with other teams within the business office
Provide appropriate feedback to management.
Qualifications:
High School Diploma or general education degree (GED)
2 – 4 years of physician office billing and denial management experience required
Basic Understanding of ICD10, CPT HCPCS
Ability to read and interpret explanation of benefits (EOBs)
Knowledge of Medical Assistance, Medicare Part B and commercial insurance products
Familiar with CMS 1500
Basic understanding of medical terminology and anatomy.
Athena experience strongly preferred
Excellent communication skills both written and verbal
Must be a self-starter that is detail oriented and capable of multi-tasking
Requires comprehensive knowledge of computer skills including Microsoft Office Suite
Comfortable in a fast-paced working environment of a growing practice
Key Responsibilities:
Performing collection activities, such as status calls to ensure timely reimbursement, appeals and account review.
Ensuring appropriate information is submitted to insurance companies in order to expedite payment.
Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal.
Determine that appropriate information is submitted to insurance companies in order to expedite payment.
Following up on assigned cases from within the organization
Reviewing pre-bill claim holds to verify that the claim goes out clean the first time
Composing appeals to insurance carriers for denied claims
Handle incoming calls for information request from insurance companies within 24 hours.
Assisting Financial Counselors when patients have questions regarding claims
Corrects accounts that are billed to incorrect insurance companies.
Ensures authorizations are attached to claims
Comply with quantity and quality expectations as provided by management
Communicating with the lead, supervisor and team to advise of trends, issues discovered
All other duties as assigned
What we offer:
Full time opportunities available, with room for career growth and advancement.
Excellent job security and stability, to promote an optimal work life balance.
Be part of this dynamic and growing high level Business Office team!
Monday - Friday 7:30am - 5:00pm
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
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