Revenue Cycle Specialist

This is an in-office position.


Benefits: We offer generous benefits including - medical, dental, vision, health savings account, paid time off, 401K, 401K company match, disability and life insurance. We also offer a consistent day shift, Monday-Friday schedule, employee assistance program, free parking, and employee referral program!

Position Summary: The Revenue Cycle Specialist is responsible for correcting, completing and processing claims of all payer codes. They are also required to generate reports from the EHR in accordance with established procedures. Work accounts receivables from time dropped to when the payment is received; to include commercial payers, government payers, and self-pay.

Essential Duties and Responsibilities:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned.

• Review patient bills for accuracy and completeness and obtain any missing information prior to submission
• Knowledge of insurance guidelines; especially Medicare and Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments, if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts

Experience Requirements

• One (1)+ year experience in a medical setting, dermatology practice preferred

Education, Licensure & Certification Requirements

• High School diploma or equivalent
• Associate degree in Business Administration, Accounting or Health Care Administration, preferred

Knowledge, Skills and Abilities Requirements

• Knowledge of all payer codes
• Knowledge of medical terminology and billing practices
• Ability to communicate in an active multi-office environment
• Ability to efficiently operate all job-related office equipment
• Ability to follow or provide verbal and written instructions
• Basic to intermediate computer operation
• Mathematical and/or analytical ability for basic to intermediate problem solving
• Detail oriented, professional attitude, reliable
• Specialty knowledge of systems relating to job function

Supervisory Responsibilities

This position has no supervisory responsibilities