Revenue Cycle Specialist

4 weeks ago

Cincinnati, United States HerMD Full time
Job DescriptionJob Description

This is a remote position.


About the Role

HerMD is seeking a full time Revenue Cycle Specialist to be responsible for medical billing oversight, employee and patient questions related to insurance and billing, and serves as the primary escalation point for outsourcing partner(s) regarding billing, payment posting, A/R follow-up for healthcare claims, and timely resolution of patient balances. The Revenue Cycle Specialist ultimately reports to the Chief Financial Officer.



Responsibilities

● Prepare medical bills, review service charges, and verify patient insurance.

● Identify, build, and maintain billing and claim edits to ensure accurate claim submission.

● Primarily responsible for answering HerMD practice insurance questions, as well as patient billing inquiries.

● Serve as escalation point for outsourcing partner(s) in order to quickly and accurately respond to billing questions, payment posting, and A/R resolution.

● Collaborating with patients to ensure patient responsibility is remitted timely, including setting up payment plans for outstanding balances.

● Address revenue cycle-related correspondence and work with payers to convert to electronic communications, including new EDI enrollments.

● Perform regular chart and claim audits to ensure compliance with billing and coding best practices.

● Assist in root cause analysis and resolution to minimize denials.

● Reconcile patient balances and generate regular patient statements.

● Work pre-collections reports and assist with internal collections efforts as needed.

● Assist with additional tasks as needed, including point-of-sale entries, processing patient payments, posting of contractual and other adjustments, managing existing patient payment plans, and financial reconciliation process.






Requirements

Required:

  • 5+ years of medical billing experience, Gynecology preferred
  • Experience in patient-facing interactions (e.g., customer service, scheduling / registration, or billing)


Preferred:

  • Surgical coding experience
  • Experience in multiple EMRs and Practice Management systems


BenefitsBenefits

  • 401(k) Safe Harbor Match Plan

  • Health, Dental and Vision insurance

  • Voluntary Short Term Disability (STD) and Long Term Disability (LTD)

  • Life Insurance

  • Paid Time Off (PTO) and Paid Holidays



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