Orthopedic Revenue Cycle Specialist

5 days ago


Yonkers, New York, United States Midwest Orthopaedics at Rush Full time
Unlock Your Potential in Orthopedic Revenue Cycle

Midwest Orthopaedics at Rush is a leader in comprehensive orthopedic services, and we're seeking a skilled Orthopedic Revenue Cycle Specialist to join our team. As a key member of our revenue cycle team, you'll play a vital role in ensuring accurate and timely claims follow-up and accounts receivable resolution.

Key Responsibilities:
  • Analyze authorizations, claims, and explanation of benefits to identify the next appropriate action toward payment resolution.
  • Follow government, commercial, and third-party payor guidelines to ensure complete and timely follow-up on open balances.
  • Perform appeals, underpayment appeals, and disputes by following government, commercial, and third-party payor appeals guidelines or contracted terms.
  • Collaborate with the Revenue Cycle Analyst to identify patterns and interpret denial trends.
  • Minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources.
Requirements:
  • High School Diploma or equivalent; Associates or Bachelor's Degree preferred.
  • 3-4 years of related experience in a business office or on a revenue cycle team; Preference given for physician or medical group CMS 1500 experience.
  • Strong expertise with Blue Cross Blue Shield claims submission, denial resolution, and appeals processes.
  • Knowledge of durable medical equipment requirements, workers compensation, motor vehicle, and personal injury claims.
  • Experienced with patient accounting systems – Athena preferred.
What We Offer:

Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Our employees make the difference in our patients' lives, and we value their contributions. Come see what we're all about. Equal Opportunity Employer.


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