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Revenue Cycle Specialist II JP 221651
2 months ago
Key Responsibilities:
- Respond promptly and professionally to requests from management, staff, or physicians, maintaining confidentiality at all times.
- Follow department policies and procedures to ensure accurate and timely claim resolution and address patient inquiries and insurance issues.
- Participate actively in team meetings.
- Utilize worklists to review and analyze account balances, facilitating payment collection for medical services rendered.
- Use multiple system applications to review and update patient information, as well as research and resolve outstanding accounts receivable balances.
- Assist in analyzing claims resolution and provide feedback to management for process improvements; follow up with insurance companies to ensure appropriate payment, resolve denials, correct claims, and appeal as necessary.
- Serve as a liaison with internal and external customers, offering support in claims and receivables resolution within a high-volume environment.
- Contact patients and guarantors to secure necessary billing information.
- Document accounts with clear and concise notes, following departmental procedures; review and respond to correspondence and inquiries received.
- Meet and exceed team productivity and quality standards.
- Take the lead on special projects and participate in staff training.
- Review complex claims issues for resolution and recommend process improvements.
- Perform other related duties as assigned.
- High School diploma or equivalent.
- Minimum of 1 year of experience in medical billing/claims.
- Working knowledge of claim submission (UB04/HCFA 1500) and third-party payers.
- Familiarity with procedural and ICD-10 coding.
- Basic understanding of medical billing terminology.
- Detail-oriented and organized with strong analytical and problem-solving skills.
- Excellent client service, communication, and relationship-building skills.
- Proficient in Microsoft Office (Word, Excel, Outlook) and general office equipment.
- Experience with medical billing software is preferred.
- Insurance follow-up experience, especially in resolving rejected/denied medical claims; experience in Home Care is a plus.
Pay Rate: $18 per hour.
About Zing Recruiting:For over 33 years, Zing Recruiting has been a leader in the staffing industry, committed to connecting communities through employment. We prioritize the safety, health, and well-being of our associates, clients, and communities. As an equal opportunity employer, we are dedicated to diversity and encourage individuals with disabilities to apply. We are also committed to providing necessary accommodations to all applicants.
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