Revenue Cycle Specialist
1 month ago
Alivi exist to help people live a happier and healthier life. We design, build, and manage healthcare benefits. Alivi has over 200 employees that manage supplemental and value-based healthcare benefits. The benefit solutions include non-emergency medical transportation, card-based benefits (i.e., Flex, OTC, Wellness), and specialist benefits (i.e., physical therapy, podiatry). Alivi was founded in 2016 and has been ranked by the Inc. 5000 list as one of the nation’s fast growing private companies. This recognition amongst many, is just one of the few testaments to the unwavering dedication to provide healthcare solutions that help increase the quality of care, enhance the member experience, and lower healthcare costs.
JOB SUMMARY:
The Revenue Cycle Specialist is responsible for the accounts receivable including the collection, coordination of billing processes and communicating trends and patterns to the claims and finance team. Properly apply contractual obligations and adjustments when performing billing functions. A key function of this role is coordinating tasks to ensure all deadlines, both external and internal, are met.
DUTIES & RESPONSIBILITIES:
• Correctly and efficiently reviews demographic and patient insurance data in our proprietary billing system as it relates to covered services and areas.
• Accurately assess claims and identify any problematic issues associated with adjudication that may impact upstream billing to payers.
• Effectively communicate with insurance companies to ascertain claim status and accurate claim dispositions.
• Review 277/277CA responses and complete rejection process.
• Review 835s and rebill claims, as necessary.
• Review denials to determine appropriate action based on carrier requirements.
• Provide follow up with payers or internal claims processing team on denied or unpaid claims as applicable to the root cause of the denial; this could be an insurance plan error or internal processing such as in the case of coordination of benefits or billing configuration.
• Serve as the point of contact for all inquiries from insurance companies, while providing superior customer service.
• Continued professional development desired and encouraged.
• Maintain strictest confidentiality; adhere to all HIPAA (Health Insurance Portability and
Accountability) and other industry rules and regulations.
REQUIREMENTS & QUALIFICATIONS:
• A minimum of 3 years’ experience in end-to-end revenue cycle management
• High school diploma required; Associate’s/bachelor’s degree is a plus.
• Knowledge of billing procedures and collection techniques
• Professional personal presentation
• Experience working independently, as well as member of various teams and/or workgroups.
• Strong computer skills and knowledge of MS Office products, specifically Excel.
• Ability to quickly navigate between different system platforms.
• Strong written and verbal communication skills.
• Strong organizational skills, problem-solving, and analytical skills.
Powered by JazzHR
Z2LE0Oko0I
-
Revenue Cycle Specialist
1 week ago
Miami, United States Alivi Full timeJob DescriptionJob DescriptionSUMMARYThe primary responsibility of this position is to identify and analyze circumstances that result in an open claim status. This involves coordinating tasks to guarantee that both external and internal deadlines are adhered to, facilitating the prompt processing and resolution of open claims. The objective is to...
-
Revenue Cycle Specialist
5 days ago
Miami, United States Alivi Full timeJob DescriptionJob DescriptionSUMMARYThe primary responsibility of this position is to identify and analyze circumstances that result in an open claim status. This involves coordinating tasks to guarantee that both external and internal deadlines are adhered to, facilitating the prompt processing and resolution of open claims. The objective is to...
-
Cerner Revenue Cycle Systems Analyst
2 weeks ago
Miami, United States Miami Children's Full timeJob Summary Supports the business solutions within the Revenue Cycle solutions portfolio including Scheduling, Registration, Charge Services/Revenue Integrity, Health Information Management, Patient Accounting, and Finance/General Ledger. Serves as the business solution leader by providing expertise within the Revenue Cycle solutions suite and their related...
-
Cerner Revenue Cycle Systems Analyst
2 weeks ago
Miami, Florida, United States Nicklaus Children's Health System Full timeJob Summary Supports the business solutions within the Revenue Cycle solutions portfolio including Scheduling, Registration, Charge Services/Revenue Integrity, Health Information Management, Patient Accounting, and Finance/General Ledger. Serves as the business solution leader by providing expertise within the Revenue Cycle solutions suite and their...
-
Cerner Revenue Cycle Systems Analyst
2 weeks ago
Miami, United States Nicklaus Children's Health System Full timeJob Summary Supports the business solutions within the Revenue Cycle solutions portfolio including Scheduling, Registration, Charge Services/Revenue Integrity, Health Information Management, Patient Accounting, and Finance/General Ledger. Serves as the business solution leader by providing expertise within the Revenue Cycle solutions...
-
Legal Billing Specialist
17 hours ago
Miami, United States The LaSalle Group Full timeOur client, a premier law firm, is looking for a hands-on Legal Billing Specialist to work directly alongside the billing supervisors and managers and contribute to their team. This is a great opportunity for a Legal Billing Specialist to gain experience with a global industry leader. Strong organization and communication skills are required for the role as...
-
Medical Billing and Collections
3 weeks ago
Miami, United States Revenue Cycle Management Profession Full timeJob DescriptionJob DescriptionFast paced Medical Billing company looking for experienced Medical Billing and Insurance Collector ( >2 years). Must have knowledge of medical appeal guidelines, including Medicare. Need to be proficient with ICD-10 and coding guidelines. Good benefits such as; paid vacation, paid holidays, 401K, health benefits .Job Type:...
-
it specialist
4 weeks ago
Miami, Florida, United States Department Of Agriculture Full timeSummary This position is located at Office of the Chief Information Officer, Technical Support Division.This is not a remote position. You will be required to be in your duty station office per CEC telework policy. Duties The following are the duties of this position at the GS-11. If you are selected at a lower grade level, you will have the opportunity to...
-
Customer Enrollment Specialist
1 month ago
Miami, Florida, United States South Shore Marketing Full timeOur company is looking to fill a position as a Customer Enrollment Specialist. Our expanding client portfolio has us oversee our accounts, consistently increase revenue, and develop overall growth in team performance.As the brand's face, the Customer Enrollment Specialist will acquire a strong familiarity with the company's products, mission, and values to...
-
Customer Enrollment Specialist
4 weeks ago
Miami, United States CareerBuilder Full timeJob Description Job Description Our company is looking to fill a position as a Customer Enrollment Specialist. Our expanding client portfolio has us oversee our accounts, consistently increase revenue, and develop overall growth in team performance. As the brand's face, the Customer Enrollment Specialist will acquire a strong familiarity with the company's...
-
Customer Enrollment Specialist
4 weeks ago
Miami, United States South Shore Marketing Full timeJob DescriptionJob DescriptionOur company is looking to fill a position as a Customer Enrollment Specialist. Our expanding client portfolio has us oversee our accounts, consistently increase revenue, and develop overall growth in team performance.As the brand's face, the Customer Enrollment Specialist will acquire a strong familiarity with the...
-
Miami, United States BilliMD Full timeCompany Description BilliMD is a leading provider of medical billing and revenue cycle management solutions. We offer end-to-end services that integrate with your EHR/EMR systems, allowing your staff to focus on patient care. Our expert team specializes in revenue cycle management, medical coding, and credentialing to ensure efficiency and precision. Role...
-
Miami, United States BilliMD Full timeCompany Description BilliMD is a leading provider of medical billing and revenue cycle management solutions. We offer end-to-end services that integrate with your EHR/EMR systems, allowing your staff to focus on patient care. Our expert team specializes in revenue cycle management, medical coding, and credentialing to ensure efficiency and precision. Role...
-
Billing Specialist
2 weeks ago
Miami, United States Legal Search Solutions Inc Full timeJob DescriptionJob DescriptionBilling Specialist Law FirmEstablished Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami! The candidate will work closely with other members of the accounting area including the Firm Administrator in the handling of the day-to-day billing operations of the firm....
-
Billing Specialist
5 days ago
Miami, United States Legal Search Solutions Inc Full timeJob DescriptionJob DescriptionBilling Specialist Law FirmEstablished Law Firm is seeking a Billing Specialist with law firm experience to join a prestigious law firm in Downtown of Miami! The candidate will work closely with other members of the accounting area including the Firm Administrator in the handling of the day-to-day billing operations of the firm....
-
Billing Specialist
4 weeks ago
Miami, United States Ascension Global Staffing & Executive Search Full timeJob DescriptionJob DescriptionAscension Global Staffing & Executive Search, a Hispanic Women Owned & Operated National Recruiting Firm stands at the forefront of innovation and excellence. Led by a visionary team with a deep commitment to diversity and inclusion, our firm is dedicated to identifying and attracting top talent across the nation. With a unique...
-
Canvass Manager Trainee $50-75k
1 month ago
Miami Gardens, United States Home Specialist MV LLC Full time**Company**:Premier Home Improvements a family owned and operated provider of hurricane impact windows, doors, flooring, and roofing products to Homeowners. **Position**:We are seeking a motivated and experienced Home Improvement Sales Representative to join our sales team. As a key member of our organization, you will be responsible for driving sales and...
-
Construction Sales Trainee $50-75k
1 month ago
Miami Shores, United States Home Specialist MV LLC Full time**Company**:Premier Home Improvements a family owned and operated provider of hurricane impact windows, doors, flooring, and roofing products to Homeowners. **Position**:We are seeking a motivated and experienced Home Improvement Sales Representative to join our sales team. As a key member of our organization, you will be responsible for driving sales and...
-
Construction Sales Trainee $50-75k
1 month ago
Miami Gardens, United States Home Specialist MV LLC Full time**Company**:Premier Home Improvements a family owned and operated provider of hurricane impact windows, doors, flooring, and roofing products to Homeowners. **Position**:We are seeking a motivated and experienced Home Improvement Sales Representative to join our sales team. As a key member of our organization, you will be responsible for driving sales and...
-
Construction Sales Trainee $50-75k
1 month ago
Miami Lakes, United States Home Specialist MV LLC Full time**Company**:Premier Home Improvements a family owned and operated provider of hurricane impact windows, doors, flooring, and roofing products to Homeowners. **Position**:We are seeking a motivated and experienced Home Improvement Sales Representative to join our sales team. As a key member of our organization, you will be responsible for driving sales and...