Sr. Revenue Cycle Billing Specialist

JOB DESCRIPTION

GENERAL SUMMARY:

The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims, either in the office or at the client site.

Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties and Responsibilities:

• File claims using all appropriate forms and attachments.
• Research account denials and file written appeals, when necessary.
• Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
• Research account information to determine the necessary attachments or supporting documentation to send with each claim.
• Ensure the integrity of each claim that is billed.

• Document in detail all efforts in CUBS system and any other computer system necessary.
• Verify patient information and benefits.
• Appeal accounts in writing.
• Draft letters to clients.

Additional Duties and Responsibilities:

• Meet specified goals and objectives as assigned by management on a regular basis.
• Maintain confidentiality of account information at all times.
• Maintain awareness of and actively participate in the Corporate Compliance Program.
• Assist with other projects as assigned by management
• Maintain good working relationships with state and Federal agencies.
• Resolve accounts in a timely manner.
• Maintain a neat and orderly work station

Educational/Vocational/Previous Experience Recommendations :

• High school diploma or equivalent is required.
• 1 – 3 years experience in insurance billing preferred.
• Knowledge of all insurance payers preferred.
• Proficient PC knowledge and the ability to type 30-40 wpm.
• Professional written and verbal communication skills.
• Capacity to prioritize multiple tasks in a busy work environment.
• Organization and time management skills.
• Capability to present oneself in a courteous and professional manner at all times.
• Ability to stay on task with little or no supervision.

Working Conditions :

• Call Center environment.

• Must be able to sit for extended periods of time.

Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off.

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.