Ultimate Staffing ยท 5 hours ago
Revenue Cycle Specialist 2
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Responsibilities
Monitors and Analyzes claim files and paper claims sent to Commercial, Medicare and Medicaid
Monitors, Analyzes and solves claims stuck in "new status" and not billed out of claims system
Monitors and works Rejections from 277 files, analyze data for trends and advise supervisor/manager
Monitors and works denials from 835 files, analyze data for trends and advise supervisor/manager
Processes QA and mail statements
Monitors, reviews and works outstanding AR, analyze data for trends and advise supervisor/manager
Answers provider, submitter, client questions regarding claims and claims related issues
Performs Quality Assurance Audits
Enrolls providers in clearinghouse
Any other duties assigned and relevant to the RCM of the project
Qualification
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Required
Ability to organize and analyze data
Ability to execute tasks within a tight deadline
Ability to properly execute tasks outlined in a process and escalate issues/problems in a timely manner
Demonstrated accuracy and strong attention to detail
Proficiency with Microsoft Office, particularly Excel
Ability to understand industry standards such as 837, 999, 277 and 835 files and rejection and denial management
Problem solving skills including the ability to identify issues and proactively make recommendations to resolve
High School Diploma or equivalent required
2 - 3 Years Relevant Experience
Preferred
Coding Certificate a plus