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Job Description
The Revenue Cycle Specialist manages all functions of the organization’s billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. In conjunction with agency staff, the revenue cycle specialist will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes and train others in implementing a cross functional revenue cycle team.
Primary Job Responsibilities:
- Works with the Engagement Center and Patient Service Representatives to verify proper insurance coverage
- Makes calls to patients daily to facilitate collectability and resolve insurance issues
- Takes patient calls regarding billing questions and resolves disputes
- Submit past-due unresponsive patient balances to the collection agency
- Review the explanation of benefits (EOB) for patterns of rejected claims, then scan paper records into EMR
- Work with outside billing agencies to resolve billing issues
- Record patient payments into EMR
- Other duties as assigned.
QUALIFICATIONS
Education, Certification, and Experience Requirements
- Associate or Bachelor’s degree or a combination of equivalent education and work experience
- One to three years medical billing experience in an HER environment preferred
- Exceptional communication and time management skills
- Attention to detail a must
- Demonstrated ability to work independently
- Knowledge of HIPAA requirements related to medical records and billing requirements
- Ability to manage multiple projects concurrently
