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Revenue Cycle Specialist-NC

3 months ago

Raleigh, United States Metropolitan Healthcare Services Inc. Full time
Job DescriptionJob Description

Immediate Opening: Revenue Cycle Specialist (Temporary), you will play a crucial role in ensuring accurate and timely billing, coding, and collection of medical services. This position requires a strong understanding of medical billing, coding, and medical terminology and is on onsite.

Essential Duties and Responsibilities:

  • Monitor billing for accuracy, identifying billing and/or coding errors, and ensure timely filing.
  • Follow up on outstanding claims and denials to maximum reimbursement.
  • Submit claims electronically or via paper.
  • Maintain accurate patient accounts and post payments.
  • Monitor accounts; Determine when to send patient accounts to collections, per policy.
  • Answer and make phone calls related to billing, both patient and insurance.

Education, Experience, Training:

  • High School Diploma or GED certificate
  • 2-3 years+ of experience in medical collections/accounts receivables. ASC experience is preferred.
  • Well versed in CPT, HCPCS Level II codes, ICD-10-CM
  • Knowledge of insurance guidelines and reimbursement processes, e.g. Medicare, Medicaid, and commercial payors.
  • Ability to maintain patient confidentiality and adhere to HIPAA regulations.