Revenue Cycle/A/R Specialist

1 month ago


Walnut Creek, United States Bay Area Retina Associates Full time
Job DescriptionJob Description

REVENUE CYCLE SPECIALIST

Bay Area Retina Associates, seeks a Revenue Cycle Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller.

Primary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting charges/procedures and insurance/patient payments, balance to daily deposits consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement.

REQUIRED SKILLS

  • Computer experience is essential, including, but not limited to practice management and EHR software, word processing and spreadsheet applications.
  • Experience in CPT and ICD-10 coding; familiarity with medical terminology.
  • Excellent customer service skills.
  • Strong written and verbal communication skills.
  • Ability to manage relationships with various Insurance payers.
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
  • Responsible use of confidential information.
  • Perform to company standards of compliance with policies and procedures.
  • Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

DETAILED WORK ACTIVITIES

  • Ensure all charges are posted daily and submitted with a goal of zero errors.
  • Verifies completeness and accuracy of all claims prior to submission.
  • Accurately Post all insurance payments by line item either manually or electronically.
  • Timely follow up on insurance claim denials, exceptions, or exclusions.
  • Retrieve remittance advice when needed.
  • Follows up on outstanding accounts receivables for both insurance and patient accounts. Meets deadlines.
  • Reading and interpreting insurance explanation of benefits.
  • Utilize Collection Worklist to follow up on unpaid claims aged over 30 days. Monthly aging report should also be utilized as an additional resource.
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
  • Respond to inquiries from insurance companies, patients, and providers.
  • Regularly meets with Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles.
  • Regularly attend monthly staff meetings and continuing educational sessions as requested.
  • Perform additional duties as assigned and/or requested by Supervisory or Management team.

Job Type: Full-time

Pay: $17.00 - $25.00 per hour

COVID-19 considerations:
Employees are required to wear face mask at all times and . The office set-up follows COVID-19 requirements and is properly sanitized daily to protect the employees.



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