Elwyn · 2 days ago
Revenue Cycle Specialist
Pennsylvania, United States
Full-time
Onsite
Mid Level
3+ years expElwyn is a mission-driven nonprofit that has been supporting individuals with autism, intellectual and developmental disabilities for over 170 years. They are seeking a Revenue Cycle Specialist responsible for managing claims, ensuring accurate billing, and adhering to submission deadlines in a clinical environment.
Non Profit
Responsibilities
Manage claims in an web-based billing and claiming environment with tasks including but not limited to accurately perform charge entry into clearinghouses and payer portals, confirming patient eligibility and plan coverage
Research and identify CPT/HCPCS billing revenue codes and utilize electronic claim forms UB/Healthcare Financing Administration (HCFA) to bill claims
Confirm appropriate ICD-10 diagnostic codes to ensure proper billing
Review Explanation of Benefits (EOBs) and confirm plan requirements to ensure all collectable revenue is identified
Communicate with peers and supervisors to address billing and claims issues as appropriate and as needed
Participates in internal billing audits to reduce billing errors and maximize collections
Be available for alternative work schedules including flexibility to work within the following time slots: 8:00am - 8:00pm; occasional evening and weekend work as needed based on workload
Generate daily batching reports based on total claims billed
Perform other duties as assigned
Qualification
Required
High school diploma or GED
Minimum of three (3) years of demonstrable progressive experience in medical billing
Demonstrated ability to enter and process minimum 200 claims per day depending upon billing system
Must be familiar with external payer portals and clearinghouses
Demonstrated understanding of policy deductibles, co pays, and coinsurance and out of pocket maximums
Demonstrated understanding of billing revenue codes CPT/HCPCS and claim forms UB/HCFA
Demonstrated knowledge of ICD-10 diagnosis codes
Demonstrated knowledge of Explanation of Benefits (EOB) interpretation and balance billing requirements
Demonstrated extensive knowledge of medical terminology
Demonstrated ability to work effectively as part of a team
Demonstrated strong attention to detail
Demonstrated strong time management and organizational skills
Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little or no need for direct supervision
Comfortable using computer with multiple screens
Strong analytical skills
Ability to resolve billing issues as they occur and create lasting solutions to problems to prevent issues from occurring in the future
Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities
Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills
Demonstrated intermediate experience with Microsoft Office applications, including Word, Excel, and Outlook
Experience using/knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR)
Preferred
Navinet, Promise preferred
PA COMPASS preferred
Crystal Report writer experience preferred
Benefits
Generous Paid Time Off
Comprehensive Medical/Dental/Vision Benefit Packages
Earned Wage Access/On-Demand Pay
Paid On-the-Job Training
Tuition Reimbursement
Career Advancement Opportunities and Growth
Flexible Schedules
Retirement Savings Plan
Company
Elwyn
Elwyn is proud to be a premier provider of support, treatment, and education for individuals with intellectual and developmental disabilities (I/DD), autism, and behavioral health challenges in the United States.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Chuck McLister
President and Chief Executive Officer
Nikole Cabrey
Chief Financial Officer
Recent News
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