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Revenue Cycle Specialist
2 months ago
Sadler Health Center is seeking a detail-oriented and proactive Revenue Cycle Specialist to join our team. As a Revenue Cycle Specialist, you will be responsible for the billing process, verifying insurance coverage, and ensuring accurate submission of claims. This role is crucial in maximizing revenue and maintaining efficient billing operations for our organization.
As a Revenue Cycle Specialist, you will verify patient insurance coverage as needed and review patient accounts to identify missed billing opportunities. You will create claims, submit claims to insurance payers electronically and by paper and review claims for accuracy prior to submission. You will also confirm the accuracy of sliding fee discount adjustments and post and reconcile payments to patient accounts.
Our Revenue Cycle Specialists also respond to inquiries regarding billing and patient accounts from patients, families, insurance companies, Medicaid offices, and associated managed care plans, Medicare, and their HMOs/MA programs. You will review claim denials as well as prepare and submit refund requests. As well as collaborating with clinical staff to resolve billing issues BS and follow up with the appropriate parties regarding outstanding claims and denials. You will also contact patients to resolve insurance claims and collect outstanding balances. You will also provide financial counseling and establish payment plans with patients.
We are looking for someone with a High School Diploma/GED who has a minimum of one year of customer service experience AND at least one year of experience working or handling third party reimbursements with ICD-10 and CPT/CDT Coding and medical/dental billing experience.
An associate degree in a related field or certificate of completion of an accredited healthcare/medical billing certification program and/or an active AAPC Certified Professional Coder designation is preferred. Work experience of cashier experience which included completing reconciliation of deposits is also a plus. The pay range for this role is $25-26 per hour.
This role is a hybrid position with a requirement of at least 2 workdays onsite each week.
If you want to become part of a dynamic team committed to providing exceptional patient care and support and meet the qualifications outlined above, join us at Sadler Health Center to make a difference in the lives of our patients and community.
Sadler Health Center is a Federally Qualified Health Center with offices in Carlisle, PA, Mechanicsburg, PA and Loysville, PA 17047
Equal Opportunity Employer
We provide opportunities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, marital status or any other characteristic protected by law.
