Revenue Cycle Specialist
Suncoast Community Health Centers
REVENUE CYCLE SPECIALIST FLSA: NON-EXEMPT Duties/Responsibilities:
- Generate and process accurate invoices for services provided.
- Ensure all billing information is complete and accurate, including service codes, charges, and patient information.
- Review and verify revenue cycle data for errors or inconsistencies and correct them as needed.
- Monitor accounts receivable and track outstanding payments to ensure timely collection.
- Reconcile payments and resolve any discrepancies in accounts.
- Coordinate with patients or insurance companies to resolve billing issues and follow up on unpaid invoices.
- Handle billing for Medicare, Medicaid, and private insurance, including submitting claims and verifying insurance eligibility.
- Ensure compliance with insurance reimbursement regulations and follow up on denied, appeals and delayed claims.
- Review any claims aged over 90 days.
- Prepare and submit claims with proper coding (CPT-4, ICD-10) and documentation as required.
- Maintain accurate financial records, including invoices, payment histories, and billing reports.
- Scan and maintain electronic images of paper remittance vouchers.
- Assist in audits by providing necessary financial documentation and reports.
- Ensure billing practices comply with company policies, government regulations, and industry standards.
- Ensure revenue cycle practices comply with SCHC policies, government regulations, and industry standards.
- Communicate with patients to clarify billing information, resolve discrepancies, and update account details.
- Provide customer support regarding billing questions and payment options.
- Work closely with internal teams such as finance, customer service, and management to address billing-related concerns.
- Prepare regular reports on revenue cycle performance, outstanding accounts, and collection efforts.
- Analyze billing data to identify trends, inefficiencies, and areas for improvement.
- Recommend and implement process improvements to enhance the accuracy and efficiency of revenue cycle operations.
- Use revenue cycle software and electronic medical record (EMR) systems to process and manage revenue cycle
- Perform additional tasks as needed to support the centers.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Collaborate with IT and finance teams to troubleshoot issues with billing systems.
- Stay updated on software updates and best practices to optimize billing processes.
- Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
- Ability to prioritize tasks and to delegate them when appropriate.
- Ability to function well in a high-paced and at times stressful environment.
- Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.
- High School diploma or equivalent
- At least three years related experience required.
- Proficiency in billing software, EMR systems, and Microsoft Office (Excel, Word, Outlook and similar software)
- Familiarity with Medicare, Medicaid, private insurance reimbursement, and coding systems.
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
- Must be able to travel to various center locations as required.
Vacancy posted 3 days ago
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