FastMed Urgent Care · 2 weeks ago
Specialist, Revenue Cycle
FastMed Urgent Care is seeking a Revenue Cycle Specialist to manage the day-to-day operations of billing, claims resolution, and accounts receivable follow-up. The role involves handling submissions to payors, resolving claim issues, and ensuring timely communication with patients and management.
Health CareHospitalPrimary and Urgent Care
Responsibilities
Responsible for claim submissions to both government and commercial payors in accordance with all insurance regulations and requirements
Provide all necessary documentation required by payors to resolve claim issues or denials, including medical records, prior authorizations, audits, etc
Analyze and research all denials and over or under payments
Ensure all payor correspondence is reviewed and followed up on immediately
Timely posting of all cash receipts and reconcile statements daily
Provide exceptional customer service and communication to patients and resolve any accounts receivable requests in a timely and accurate manner
Communicate any issues to the Revenue Cycle Manager
Please Note: The list of responsibilities detailed above is not a comprehensive list, nor is it intended to be a list of all responsibilities and duties of the RCM specialist
Qualification
Required
2+ years of relevant billing experience within a healthcare facility or healthcare insurance company
Deep understanding of medical billing rules and supporting documentation requirements for both government and commercial payors
Knowledge of ICD-10 and HCPC coding, modifiers, and other medical terminology
Proficient with Microsoft Office, specifically Excel, Outlook, and Word
High School diploma required
Preferred
Epic or NextGen experience a plus, but not a requirement