Clinical Revenue Cycle Expert
1 week ago
DaMar Staffing is seeking a highly skilled Clinical Revenue Cycle Expert to join our team
About the Role:This is an excellent opportunity for experienced medical billing professionals to work in a dynamic and fast-paced environment.
Responsibilities:- Manage the revenue cycle process, from registration to follow-up, ensuring timely and accurate billing.
- Analyze coding to ensure proper billing of claims.
- Request and attach required clinical documentation as needed for claim processing.
- Examine patient charges for accuracy and request any missing information.
- Compare EOBs to current fee schedules to ensure proper claim processing.
- Review unpaid and/or denied claims, correct, and resubmit claims to payors; submit appeals.
- Follow up with insurance companies to address denials and rejections.
This role requires strong analytical skills, excellent communication skills, and the ability to work under pressure. If you have experience working in a healthcare setting and enjoy a challenge, we encourage you to apply.
Requirements:- High School Diploma, 3+ years of experience in a healthcare financial setting or medical office setting.
- Previous prior authorization experience.
- Excellent customer service skills, strong attention to details, multi-task as needed.
- Familiarity with an EMR and Microsoft Office 365.
- Able to take responsibility and work under pressure.
- A positive team player with a strong work ethic.
- Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
- Proficient in medical terminology, especially radiological terms and procedures.
The estimated annual salary for this role is $52,000, based on industry standards and location.
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