Job Description

Our client is currently looking for passionate, innovative and creative Rock Stars for their Boca Raton office! They are currently hiring for the following two positions:

Revenue Cycle Specialist- $20.00/hour plus 10% and benefits

The Role:

As a Revenue Cycle Specialist for our client, you focus on partnering with their customers to clearly understand their institutional goals, challenges, organizational structure and key business drivers. The role of the Revenue Cycle Specialist oversees the team’s daily data-entry activities and follows up with teams to drive the overall performance and daily management of multiple assigned customers accounts. The Revenue Cycle Specialist serves as a liaison between the data-entry team and the customer. Significant activities include but are not limited to the following:

Monitors overall medical billing operations, including:
Ensuring effective flow of demographic charge and payment information
Ensuring accurate claim submission and performing account reconciliations
Oversees aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements
Track fee schedules and insurance denials in order to ensure fully allowed reimbursement
Identifies and implements strategies to improve internal and customer processes
Incorporates and executes quality assurance processes related to ensure accurate customer billing activity
Reviews and analyzes customer accounts, identifies trends and issues, and recommends solutions
Collaborates with other team members to improve overall team environment
Provides a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily

Skills & Requirements

Bachelor’s degree (B.A.) from four-year college or university desired
One to two years related experience and/or training; or equivalent combination of education and experience
Knowledge of medical billing, front-office, physician practice management and healthcare business processes
Strong understanding of medical billing/coding, with understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
Exceptional written, verbal and interpersonal communication skills required
Professional demeanor required

Revenue Cycle Advisor- 50k/year plus 10% bonus and benefits

Our client is hiring a Revenue Cycle Advisor to manage and oversee the revenue cycle management activities for their physician client practices. The role of the Revenue Cycle Advisor is a key role within their organization and helps drive their client’s success, retention and account development.

The Role:

As a Revenue Cycle Advisor for our client, you advise and regularly consult with medical practices regarding the financial health of their practices. In this role, you focus on partnering with their customers to clearly understand their institutional goals, challenges, organizational structure and key business drivers. Significant activities include but are not limited to the following:

Manages overall medical billing operations, including:
Ensuring effective flow of demographic charge and payment information
Ensuring accurate claim submission and performing account reconciliations
Oversees aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements
Monitors fee schedules and insurance denials in order to ensure fully allowed reimbursement
Identifies and implements strategies to improve internal and customer processes
Understand and communicate effectively to the clients’ key metrics related to practice performance on a monthly basis, including:
Denials and rejection metrics
Net Collection Ratio metrics
Charge, adjustment and payments analysis
Accounts receivable metrics
Incorporates and executes quality assurance processes related to ensure accurate customer billing activity
Reviews and analyzes customer accounts, identifies trends and issues, and recommends solutions, including:
Denials trend management
Identify and communicate office workflow efficiency opportunities
Payer-related trend analysis and education related to policies and procedures for payers
Collaborates with other team members to improve overall team environment
Provides a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues
Skills & Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
Bachelor’s degree (B.A.) from four-year college or university desired
3+ years related experience and/or training; or equivalent combination of education and experience
Extensive knowledge of medical billing, front-office, physician practice management and healthcare business processes
Working knowledge of spreadsheets and have the ability to manage information located in multiple software systems
Strong understanding of medical billing/coding, with understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
Excellent client facing and presentation skills
Exceptional written, verbal and interpersonal communication skills required
Professional demeanor required