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Healthcare Revenue Management Specialist

2 months ago


Chicago, Illinois, United States Symmetry Counseling Full time

Position Overview:

Symmetry Counseling is seeking a dedicated and skilled Healthcare Revenue Management Specialist to join our dynamic team. The ideal candidate will possess a strong background in revenue cycle processes, including benefit verification, claims processing, and collections. This role is perfect for individuals who thrive in a fast-paced environment and enjoy tackling diverse challenges.

Key Responsibilities:

  • Conduct thorough verification of insurance benefits for both new and existing clients.
  • Assist in the completion of client intake documentation as necessary.
  • Review and manage daily aging reports to ensure timely follow-up.
  • Address and resolve any issues related to insurance claim denials and coordination of benefits.
  • Collaborate with clients to resolve credit card and copayment concerns.
  • Manage overpayments and initiate takebacks with insurance providers.
  • Reconcile overdue accounts through effective claims processing and electronic remittance advice (ERA).
  • Troubleshoot aging accounts in collaboration with clients and insurance companies.
  • Follow up on pending claims to verify submission accuracy.
  • Oversee and process refund requests as needed.
  • Assist with medical record requests when required.
  • Submit or resubmit claims and corrected claims for payment.
  • Engage in professional outbound collection communications via email or phone while maintaining positive client relations.

Qualifications:

  • A minimum of two years' experience in a medical billing and collections environment.
  • Exceptional oral and written communication skills.
  • A collaborative approach to working within a multi-disciplinary team.
  • Strong problem-solving and decision-making capabilities.
  • Proficient computer skills are essential.
  • Excellent organizational abilities.
  • A quick learner with a proactive attitude, a passion for assisting others, and a commitment to achieving goals efficiently.

Preferred Proficiencies:

  • Familiarity with insurance guidelines and payer requirements.
  • Knowledge of CPT and ICD-10 coding.
  • Customer service expertise for effective interactions with clients regarding medical claims and payments.
  • Strong problem-solving skills to investigate and resolve discrepancies, denials, appeals, and collections.
  • Understanding of accounting and bookkeeping principles.
  • Familiarity with medical terminology relevant to claims processing.
  • Commitment to maintaining client confidentiality in accordance with HIPAA regulations.