Revenue Cycle Specialist

3 weeks ago


Denver, United States Veterans Sourcing Group Full time $25 - $27
Job DescriptionJob Description

Title: Revenue Cycle -Collections Specialist

Location: 100% Remote

Type: Contract

Duration: 5-6 Months 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Work assigned lists of outstanding claim balances and patient accounts with multifaceted issues across different payers and patients
  • Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid insurance claims across different payers
  • Perform actions towards remediation of outstanding balances according to policy and procedure; including but not limited to in-depth research, appeals, rebilling, obtaining insurance authorizations or referrals, correcting coding, calling the payer or clinic, and utilizing payor portals
  • Resolve issues related to a patient's coordination of benefits (COB), demographic discrepancies, insurance eligibility or authorizations, and referrals as needed
  • Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement
  • Regularly calls payers, employers, and patients
  • Demonstrate ability to build strategic business relationships with internal and external partners (i.e., Billing & Coding Team, Registration Department, Credit Department, clinical teammates, and the payer(s))
  • Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claim

Schedule:

  • 8-hour shift (Overtime available); regular business hours
  • Monday -Friday

Skills:

  • Proficiency in Microsoft Office tools, including Excel, PowerPoint, Word, and Outlook (required)
  • Experience working in healthcare revenue cycle; emphasis on collections (2+ years) (required)
  • Experience obtaining insurance authorizations and sorting out coordination of benefits (preferred)—knowledge of retro authorizations and referrals is a plus
  • Ability to confidently place phone calls to payers, clinics and patients

Education:

  • Highschool Diploma or equivalent (required)
  • Associates or Bachelor's degree (preferred)
Company DescriptionGreat work environmentCompany DescriptionGreat work environment

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