JOB SUMMARY:

The Revenue Specialist is responsible for the accounts receivable including the collection, coordination of billing processes and communicating trends and patterns to the claims and finance team. Properly apply contractual obligations and agreements when performing billing functions. Key criteria of this position are coordinating tasks to ensure all deadlines, both external and internal, are met.

DUTIES & RESPONSIBILITIES

• Correctly and efficiently review demographic and patient insurance data in our proprietary billing system as it relates to covered services and areas
• Assess claims and accurately identify any problematic issues associated with adjudicated claims that may impact upstream billing to payers
• Effectively communicate with insurance companies to ascertain claims status and accurate claim dispositions.
• Review 277/277CA responses and complete rejection process
• Review 835s and rebill claims, as necessary.
• Review denials to determine appropriate action based on carrier requirements.
• Provide follow up with payers or internal claims processing team on denied or unpaid claims as applicable to the root cause of the denial; this could be plan error or internal processing such as in the case of coordination of benefits or billing configuration
• Serve as the point of contact for all inquiries from insurance companies, while providing superior customer service.
• Continued professional development desired and encouraged.
• Maintain strictest confidentiality; adhere to all HIPAA (Health Insurance Portability and Accountability) and other industry rules and regulations

REQUIREMENTS & QUALIFICATION

• A minimum of three years’ experience in end-to-end revenue cycle management
• High school diploma required; Associate’s/Bachelor’s degree is a plus
• Knowledge of billing procedures and collection techniques
• Working knowledge of MS Office, specifically Excel and Access Databases
• Professional personal presentation

Job Type: Full-time

Pay: $37,440.00 - $49,920.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Miami, FL 33126: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you able to commute to the Miami office M-F during business hours
• Please advise your hourly pay expectations (range $18-$24)
• Please share your LinkedIn profile below, if available.

Education:

• High school or equivalent (Required)

Experience:

• Revenue cycle management: 3 years (Preferred)
• Claims: 1 year (Required)

Work Location: One location

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