Revenue Cycle Specialist

4 weeks ago


Charleston, United States Coastal Pediatric Associates Full time
Job DescriptionJob DescriptionDescription:Spring in to your new careerBecome a vital member of Coastal Pediatric Associate's Billing Department where you will be performing all aspects of the revenue cycle; including but not limited to, insurance AR, claims follow-up and reporting, patient billing, collections reporting, and claims submission in a timely, efficient manner. We are the largest and fastest growing pediatric practice in the Lowcountry. Join us at the Coast


Benefits and Perks:

· Medical, Rx, Dental, Vision

· HSA, HRA, HIA

· Telehealth

· Life & Disability

· Employee Assistance Program

· Paid holidays and vacation

· 401k

· Convenient Locations & free parking

· Paid Volunteer Opportunities

· Education Assistance


Revenue Cycle Specialist Responsibilities to Include:

  • Handles all billing questions, patient portal questions, patient cases and voicemails from parents/patients, insurance companies, law offices, and other CPA staff in a timely fashion (resolved within 72hrs)
  • Financial counseling to guarantor/patient as needed, arrange payment plans per billing department/practice policies
  • Collects co-payments, deductibles, and other out of pocket amounts via phone or other available means
  • Manage patient, insurance, and collections AR by using best practices by Athena or other established workflows as directed including but not limited to: Patient Contact/Outreach, insurance carrier contact/outreach, and interdepartmental communications when needed to resolve the issue.
Requirements:
  • High school diploma or equivalent
  • Current working knowledge of ICD-10, CPT, HCPCS (Healthcare Common Procedure Coding System), Modifiers, and HIPAA
  • Prior physician outpatient experience required
  • Customer Service Experience (preferably in a medical office setting or call center)
  • Basic understanding of a variety of health plans including but not limited to Medicaid Fee for Service, Managed Medicaid Plans, Federal Payers, and a variety of commercial payers
  • Knowledge of the life of a revenue cycle
  • Strong analytical skills for claims analysis and reporting
  • Prior EMR software experience (ATHENA) preferred but not required
  • Strong working knowledge in computer skills: Excel, Word, and other cloud-based computing
  • Basic knowledge of pediatric coding practices, including but not limited to Federal Vaccine Program requirements (VFC)
  • Prior Coding and or Insurance AR experience (CPC, CSS, CPB, or related certifications preferred but not required)
  • Ability to speak, read and write effectively
  • Ability to work independently without direct supervision
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines, in a detail-oriented manner
  • Ability to work weekdays


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