Revenue Cycle Specialist Salary in the United States

Job Description Job Description Revenue Cycle Reimbursement Specialist, Healthcare payer, Managed Care Full-time, salaried position Work from home Join the Exela Technologies Managed Care Professionals Team as a healthcare payer follow up caller.Every claim and every client is different! Decision making is required. This position works remotely from a home office, but you must live in greater St. Louis, MO area. Functions: Perform day to day operations in the healthcare Revenue Integrity Program Contact respective payer for processing of additional reimbursement “underpayment” Validate underpayment explanation Generate Appeals and forward to Project Coordinator for approval Interact with healthcare client appointed contact Continue underpayment follow-up pursuit per scheduled daily activities until remittance of additional reimbursement occurs Qualifications: Bachelor’s Degree/Associate's Degree or equivalent experience with emphasis in accounting, finance, hospital administration, or

If you have experience working with medical insurance as it relates to medical insurance, benefits, and collection, we encourage you to apply to our open Revenue Cycle Specialist position today! This position reviews carrier websites to understand eligibility/benefits in order to successfully inform clients of benefits and financial responsibility. In this role, you will be able to collaborate with each of our programs to ensure medical insurance billing and collection processes (including intake and insurance verification) are carried out efficiently and accurately. Amongst other responsibilities, you may be required to complete medical insurance authorizations. Qualifications include High School Diploma (or equivalent education) with 2 years of medical office/billing experience. Starting rate: $18.75/hour. Benefits include: · Sign on bonuses for all · Multiple health insurance options · Employee referral bonus · Tuition Reimbursement · Clinical license renewal reimbursement

Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. Prioritize high dollar claim balances through work queues Review & work incoming insurance and patient correspondence including refund requests. Send appeals when appropriate or provide the requested medical documentation. Ability to review medical documentation to justify medical necessity. Review patient balances to ensure accuracy and follow up with patients to obtain payments. Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. Review insurance payments and determine accuracy

Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service. Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts. Identify and respond to patterns of denials or trends and perform complex account investigation as needed to achieve resolution. Review and resolve uncollected accounts and prepare charge corrections. Appeal carrier denials through review of coding, contracts, and medical records. Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances Research and appeal denied claims Set up patient payment plans Verify p

REVENUE CYCLE SPECIALIST This role supports our customers with claims processing, including gathering required documentation and coding information, updating patient accounts with payments, vouchers, and claims/payment status, and communicating with patients and 3rd party insurers about claims and payments. You will work under moderate supervision with some latitude for independent judgment as you continue to increase your proficiency and apply your skills to the completion of assigned tasks. The role you play An effective Revenue Cycle Specialist will help the organization on a whole achieve success through: Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team Preparing and submitting hospital and clinic claims to third-party insurance carriers either electronically or by hard copy billing Securing medical documentation required or requested by third party insurances and in accordance with HIPAA regulations. Following

Job Description Job Description UMMARY OF DUTIES The Revenue Cycle Specialist is part of the Revenue Cycle team and will be responsible for any/all aspects of the Revenue Cycle as it relates to client services. This position will work closely with insurance carriers, clients, site management teams, and the Billing team. POSITION RESPONSIBILITIES · Review & ensure accurate insurance eligibility, benefits, and financial information needed for billing and collection processes. · Follow up with clients as needed to review coverage, benefits, financial responsibility, and collect outstanding balances. · Enter data accurately and timely into Anasazi. · Work as a liaison between the programs, insurance carriers, and clients. · Partner with providers and sites as necessary for enrollment, client financials, or eligibility and authorization. · Review, analysis, and follow up on reports provided by Director of Revenue. · Perform frequent and regular follow up on all processes and procedures. · E