Pomelo Care · 10 hours ago

Revenue Cycle Specialist

United States

Full-time

Remote

Mid Level

$25/hr - $30/hr

3+ years exp

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Responsibilities

Reviewing and submitting claims within payor guidelines to ensure timely and accurate filing

Reporting on aging encounters, and partnering with clinicians to resolve them, ensuring compliance with internal best practices

Resolving and appealing claims denials, and working with the Revenue Cycle Manager to improve workflows and optimize our claim submission process

Reconciling ERAs by resolving holds, manually posting payments and adjudicating claims

Manage patient accounts receivable by ensuring timely invoicing and follow-up on outstanding payments

Collaborating with other teams to identify and update missing patient demographic and insurance data

Proactively identifying opportunities and implementing processes to optimize efficiency and accuracy within the billing function

Collaborating effectively within a team-oriented environment and demonstrating a proactive approach to managing small projects across various functions

Qualification

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Revenue cycle supportMedical billing softwareEHR systemsMicrosoft ExcelGoogle Sheets