Role Description Reports to the Revenue Cycle Manager and/or Administrator of Revenue Cycle Services, the Revenue Cycle Specialist is primarily responsible for receiving and responding to patients’ phone calls within one (1) business day, working A/R reports and Explanations of Benefits from insurance companies. They are responsible for:

• Working correspondence, refiling unpaid or incorrectly paid claims, and accurately updating or correcting patient demographic or profile information.
• Filing claims to all insurance companies.
• Analyzing and responding to refund requests as indicated by the insurance companies.
• Entry and editing of all charges.

Qualifications

• Knowledge of medical insurance, managed care plans, CPT, ICD9 and ICD10 codes.
• Ability to read and understand Explanations of Benefits from all insurance companies.
• Knowledge of FDCPA and Bankruptcy.
• Detailed and thorough work on special projects as assigned.

Requirements

• Minimum: High School Diploma/G.E.D.
• Knowledge of Microsoft Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills.
• Less than 3 years of experience in a medical practice, customer service or revenue cycle department.
• CPC required for designated trainer positions as well as those involved in coding directly from the chart.

Benefits

• Work from Home Opportunity after training (Equipment Provided)
• Paid Time Off
• Medical, Dental, and Vision
• 403b with Match
• Opportunity for Growth