Unified Women's Healthcare · 6 hours ago

Revenue Cycle Specialist

New York, United States

Full-time

Remote

Entry, Mid Level

$20/hr - $25/hr

2+ years exp

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Responsibilities

Resolve Accounts Receivable and Collections, including

Review, Follow Up, and Appeal denied claims according to standards

Determine accuracy of Insurance payments and follow up on discrepancies

Initiate, Follow Up, and Respond on payer reimbursement issues

Communicate with Practices and Payers regarding claim denials and payer trends

Analysis and Quality Review of work completed by third parties

Build and generate reports, as needed

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical Billing & CodingInsurance Claims ManagementHealthcare Practice Management SystemsCloud-based CRM TechnologyMicrosoft ExcelInsurance Payer PortalsCollaboration Skills

Required

High school diploma or equivalent

Minimum of 2 years current experience interpreting insurance explanation of benefits, patient benefit plans; policy coverage and patient responsibility

Minimum of 2 years current experience working with medical claims, billing and collections, and appeals

Experience working with healthcare practice management systems

Experience working with cloud-based Customer Relationship Management (CRM) technology

Experience with Microsoft Office with proficiency with Microsoft Excel

Excellent verbal and written communication skills with internal and external customers

Ability to collaborate effectively in a cross-functional team environment

Experience and knowledge of commercial and governmental insurance payer and clearinghouse portals including billing guidelines and policy updates

Working knowledge of Medical Billing & Coding required