Revenue Cycle Specialist II
1 week ago
Copa Health is seeking a highly skilled Revenue Cycle Specialist II to join our team in a dynamic and fast-paced environment.
Key Responsibilities- **Claims Resolution**: Identify and resolve complex claims issues, ensuring proper follow-up on the back-end aspects of the revenue cycle process.
- **Revenue Management**: Monitor payments, fee schedule changes, health plan reimbursement changes, and other aspects that impact revenue, cash collections, and adjustments.
- **Collaboration**: Work closely with the Rev Cycle Manager, Billing Coordinator, and Payer to resolve billing problems and disputes, and collaborate effectively with the Rev Specialist I and other team members to ensure timely and proper reimbursements.
- **Analytical Skills**: Perform full cycle billing and collections functions, including a complex review of billing and collection activities.
- **Communication Skills**: Interpret and analyze EOBs, remits, and payment posting entries, and communicate effectively with payers and other stakeholders.
- **Problem-Solving Skills**: Check claim status from payers, collect on insurance accounts, and research and rectify any special circumstances resulting in delayed payments.
- **Education**: High school diploma or General Equivalency Diploma (GED); or equivalency of education and years of experience are acceptable.
- **Experience**: 1-2 years of experience in medical claims required; behavioral health knowledge preferred.
- **Certifications**: Ability to obtain and maintain Level One fingerprint clearance and meet agency personnel requirements.
Copa Health is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive work environment. Pre-Employment Criminal Background and Drug Testing Required.
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Revenue Cycle Specialist II
1 week ago
Phoenix, Arizona, United States Copa Health Full timeJob SummaryCopa Health is seeking a highly skilled Revenue Cycle Specialist II to join our team in a dynamic and fast-paced environment.Key Responsibilities**Claims Resolution**: Identify and resolve complex claims issues, ensuring proper follow-up on the back-end aspects of the revenue cycle process.**Payment Monitoring**: Monitor payments, fee schedule...
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