Job Description

The role of the Revenue Cycle Specialist $20/hour + 10% bonus
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

Education and/or Experience:
• 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