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Revenue Cycle Specialist

2 months ago


Lewisville, Texas, United States Medix™ Full time
{"Job Title": "Revenue Cycle Specialist", "Job Summary": "

As a Revenue Cycle Specialist at Medix , you will play a critical role in ensuring the smooth operation of our healthcare revenue cycle. Your expertise will be instrumental in monitoring and tracking claim statuses, resolving rejections or denials promptly, and conducting regular follow-ups with insurance companies to resolve outstanding issues.

Key Responsibilities:

  • Monitor and track claim statuses, resolving rejections or denials promptly.
  • Conduct regular follow-ups with insurance companies, resolving outstanding issues.
  • Review and appeal denied claims as necessary, adhering to deadlines.
  • Stay updated on insurance regulations, billing guidelines, and coding updates.
  • Collaborate with internal teams to address billing discrepancies and ensure compliance.
  • Generate and analyze reports related to billing and collections, identifying trends.

Requirements:

  • At least two (2) years' of recent back end revenue cycle experience (medical billing, collections, etc.).
  • Expert understanding of insurance payers, including commercial or government.
  • Demonstrated success in touching at least 40 accounts daily.
  • Proficiency in medical billing software and EHR systems.
  • Knowledge of insurance claim submission processes and various payer guidelines.

Benefits:

  • Competitive hourly rate: $22-24/hour, depending on experience.
  • Hybrid work arrangement: two (2) days onsite, three (3) days remote.
  • Normal schedule: 40-hour work week, Monday-Friday, daytime hours.

Compliance Requirements:

  • Background check.
  • Drug screening (9-panel, which includes THC).
  • OIG Search (annual).
  • SAM Search (annual).
  • Education Verification.

Location:

Lewisville, TX - Hybrid.

"}