Revenue CycleAR Specialist

2 weeks ago

Walnut Creek, United States Bay Area Retina Associates Full time

Job Description Job Description

REVENUE CYCLE SPECIALIST

Bay Area Retina Associates, seeks a Revenue Cycle Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller.

Primary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting charges/procedures and insurance/patient payments, balance to daily deposits consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement.

REQUIRED SKILLS

Computer experience is essential, including, but not limited to practice management and EHR software, word processing and spreadsheet applications.

Experience in CPT and ICD-10 coding; familiarity with medical terminology.

Excellent customer service skills.

Strong written and verbal communication skills.

Ability to manage relationships with various Insurance payers.

Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

Responsible use of confidential information.

Perform to company standards of compliance with policies and procedures.

Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

DETAILED WORK ACTIVITIES

Ensure all charges are posted daily and submitted with a goal of zero errors.

Verifies completeness and accuracy of all claims prior to submission.

Accurately Post all insurance payments by line item either manually or electronically.

Timely follow up on insurance claim denials, exceptions, or exclusions.

Retrieve remittance advice when needed.

Follows up on outstanding accounts receivables for both insurance and patient accounts. Meets deadlines.

Reading and interpreting insurance explanation of benefits.

Utilize Collection Worklist to follow up on unpaid claims aged over 30 days. Monthly aging report should also be utilized as an additional resource.

Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.

Respond to inquiries from insurance companies, patients, and providers.

Regularly meets with Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles.

Regularly attend monthly staff meetings and continuing educational sessions as requested.

Perform additional duties as assigned and/or requested by Supervisory or Management team.

Job Type: Full-time

Pay: $17.00 - $25.00 per hour

COVID-19 considerations:

Employees are required to wear face mask at all times and . The office set-up follows COVID-19 requirements and is properly sanitized daily to protect the employees.

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