[Hiring] Revenue Cycle Specialist- Follow up Primary Care @St. Elizabeth Healthcare
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
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