Revenue Cycle Specialist

19 hours ago

Phoenix, Arizona, United States Pathology Billing Services Full time
Job Title: Revenue Cycle Specialist Level II

Job Summary:

The Revenue Cycle Specialist Level II provides advanced collection activity support to enhance the liquidation of accounts receivables for Pathology Billing Services, LLC. This role requires exceptional communication skills, organizational abilities, and knowledge of business software.

Key Responsibilities:

  1. Coordinate the resolution of outstanding receivables on whole or partial balance accounts as assigned for AHCCCS and Medicare receivable.
  2. Maintain updated knowledge of contractual agreements and report discrepancies in payor reimbursement patterns to the Billing Manager.
  3. Facilitate communication between PBS, LLC and patient clientele.
  4. Assist management with special projects and tasks as requested.
  5. Monitor payment activity and contractual adjustments posted to patient accounts, initiating corrections as necessary.
  6. Obtain status and secure payment on all accounts greater than 45 days aged.
  7. Manage spreadsheets and documents for payer reimbursement as required.
  8. Follow-up with payors regarding reimbursement claims, adhering to defined intervals and statuses.
  9. Initiate first and second-level appeals, grievances, reconsiderations, redeterminations, and disputes to secure reimbursement.
  10. Manage the hearing process from request to mediation.
  11. Filter unpaid patient balanced accounts for outside agency, completing thorough and accurate assessments.
  12. Maintain updated knowledge of provider manuals and billing guidelines.
  13. Report inconsistencies in payer activity, workflows, or software to the Billing Manager.
  14. Assist and resolve patient inquiries through incoming calls.
  15. Maintain a minimum average monthly of 1675 patient accounts.

Additional Responsibilities:

  1. Assist with billing duties as needed.
  2. Meet assigned deadlines and communicate status with management.
  3. Assist with mailing of claims and correspondence as needed.
  4. Complete status reports daily or as instructed.
  5. Assist with special projects as needed.
  6. Notify billing manager of any inconsistencies, changes, or errors with payor activity.
  7. All other duties as assigned.

Requirements:

  • One to Five years of advanced billing support experience in a corporate setting.
  • AHCCCS and Medicare Payor experience required.
  • Knowledge of business software, including word processing, spreadsheets, and application presentations.
  • Exceptional verbal and written communication skills.
  • Excellent organizational skills and ability to manage multiple priorities simultaneously.
  • Ability to handle highly confidential information.
  • Ability to exercise independent judgment.
  • Knowledge of standard office equipment.
  • Ability to lift a minimum of 35 pounds and sit for long periods of time.

Benefits:

Clin-Path Associates offers nationally competitive compensation and benefits, including health insurance, dental insurance, vision insurance, paid time off, retirement contributions, and a flexible spending account.

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