Equip · 2 days ago

Revenue Cycle Specialist

United States

Full-time

Remote

Mid Level

$60K/yr - $69K/yr

2+ years exp

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FitnessHealth Care

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Responsibilities

Complete charge entry and claim management, working A/R and denial follow-up as needed

Execute the integration of an AI platform related to the charge entry process; formalize and ensure proper workflow documentation

Process payor refunds submitted by the billing team, ensuring accurate and timely submission to management

Help maintain an organized and cohesive process for all aspects of claims submissions, resubmissions, rejections, and denials

Proactively communicate issues, trends, and improvements in charge entry and A/R denial management promptly and effectively

Develop A/R reporting and provide assistance with unbilled AR reconciliation to ensure charges are submitted timely

Provide quick and effective follow up on claim submission status and mitigating submission errors and system configuration issues

Ensure accurate management of patient accounts, financial records, and claims processes

Work closely with the revenue cycle team to ensure accurate patient accounting, statement management, payment posting, and charge reconciliation

Perform additional duties as assigned, contributing to the continuous improvement and success of the revenue cycle department.

Qualification

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Healthcare Revenue CycleMedical BillingCodingHealth InsuranceCMS 1500 ClaimsUBInvoicingData EntryMicrosoft OfficeGoogle SuiteProblem-SolvingCommunicationCollaborationAnalytical ThinkingOrganizational SkillsAdaptabilityAttention to Detail