Revenue Cycle Specialist
PRC-Saltillo
Revenue Cycle Specialist
Make an Impact Behind the Scenes Join PRC-Saltillo as a Revenue Cycle Specialist!
As a Revenue Cycle Specialist, you'll play a vital role in supporting this mission by managing and processing third-party medical claims through Medicaid, Medicare, and private insurance providers. Your attention to detail and problem-solving skills will help ensure accurate billing, timely payments, and seamless communication with both internal teams and external partners.
If you're detail-driven, enjoy collaborating with others, and take pride in ensuring accuracy and follow-through, this is your opportunity to join a mission-driven team making a meaningful difference.
Why You'll Love Working Here
- Mission-Driven Purpose: Support life-changing communication solutions for individuals and families.
- Meaningful Impact: Ensure accurate billing and claims processing that directly supports access to care.
- Collaborative Environment: Work closely with funding, billing, and internal teams across the organization.
- Stability & Growth: Build expertise within revenue cycle and medical billing processes.
Duties and Responsibilities
- Verify all billing information in the billing software system and scan required documentation into the document management database.
- Identify and resolve missing or unclear billing information by contacting appropriate internal or external contacts.
- Document all billing activities in required billing and document archiving systems.
- Review invoices to determine appropriate billing methods and ensure complete, accurate claim submissions.
- Follow up on unpaid and denied claims via phone and billing software, determining next steps according to departmental protocols.
Education and Experience
- High school diploma or equivalent required.
- Billing certificate or at least 6 months of medical billing experience required.
- Demonstrated knowledge of billing databases required.
Required Skills/Abilities
- Ability to work effectively in a fast-changing environment while exercising sound judgment.
- Strong organizational skills with the ability to manage and prioritize workload accurately.
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving abilities.
- Proven ability to collaborate across departments.
- Ability to work independently and follow tasks through to completion.
- Capable of working under pressure with flexibility, professionalism, and diplomacy.
- Exceptional attention to detail, accuracy, and adherence to policies and procedures.
- Proficiency with Microsoft Excel, Word, email, and calculator/computer skills.
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