Medical Specialist for Revenue Cycle Operations

7 days ago


Denver, Colorado, United States Summit Medical Consultants LLC Full time

Company Overview:

Summit Medical Consultants LLC is a rapidly expanding physician-owned medical practice dedicated to delivering exceptional clinical services across Colorado. The organization prioritizes providing compassionate and coordinated care, collaborating closely with healthcare professionals and partner facilities to ensure the best outcomes for patients.

About Us:

As a valued member of our team, we recognize the invaluable contributions each individual makes to patient care and the success of our organization. We offer comprehensive benefits to every employee, effective from their date of hire, as well as a hybrid work schedule to provide flexibility and accommodate individual needs.

Position Overview:

As a Medical Specialist for Revenue Cycle Operations, you will play a vital role in our organization by ensuring timely and accurate collection of payments for services rendered to patients. Your responsibilities include developing relationships with facilities, managing patient information, coordinating benefits with insurance payers, and maintaining compliance with regulations.

Key Responsibilities:

  • Develop and maintain relationships with facility departments
  • Collect and verify patient demographic and insurance information
  • Research and call on outstanding insurance claims
  • Manage transitions of care and insurance coverage changes
  • C coordinate benefits with insurance payers
  • Ensure compliance with regulatory requirements
  • Make staffing recommendations to accommodate regulatory visits
  • Develop contracts with facilities for consolidated billing
  • Conduct calls to collect patient dues and liaise with insurance payors
  • Respond to patient / insurance calls/ inquiries regarding balances and payment plan, and accept ACH, credit card, or check payments for processing
  • Maintain accurate patient records in multiple systems
  • Collaborate with collections agency for outstanding balances
  • Perform other administrative duties as assigned

Requirements:

  • 2-5 years Medical Billing, Insurance verification and Patient Collections experience
  • Team player and ability to coordinate with the Revenue cycle team
  • Certifications in Accounts Receivable or Medical Billing preferred
  • Proficiency in Google Docs, Excel, and Word preferred
  • Strong communication and organizational skills
  • Ability to work independently and as part of a team
  • High level of confidentiality and attention to detail

Benefits:

We offer a competitive salary range: $24.00 - $28.00 per hour. Additional benefits include:

  • 401(k) plan: Immediate entry for employee contributions and employer match after 6 months of employment
  • Health insurance: three plans available with the option of 100% employer paid premiums for employee coverage
  • Dental insurance: 100% employer premium paid for employee coverage
  • Vision insurance: 100% employer premium paid for employee coverage
  • Paid Time Off and 6 Paid Holidays
  • Life insurance and other optional benefits

Schedule:

This is a full-time position, Monday through Friday.



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