Medical Revenue Cycle Management Professional

1 week ago


Middle Island, United States M&D Capital Premier Billing Full time
Revenue Cycle Management Specialist

We are seeking a highly experienced Medical Billing- Revenue Cycle Management specialist to join our team at M&D Capital Premier Billing. The ideal candidate will have a strong understanding of medical billing processes and terminology, experience in follow-up for Out-Of-Network providers, ensuring accurate and timely follow-up on billed claims.

Key Responsibilities:

  • Claims follow-up, professional and facility, from submission until final payment
  • Communication with insurance companies regarding claim denials or underpayments
  • Utilization of payer online portals for claims status and eligibility verification
  • Medical record retrieval and submission to payers
  • Reconsiderations and appeals processing
  • Understanding and interpretation of various payers' EOBs
  • Posting payments, writing off balances, and statement generation
  • Complex issue resolution, including payment research and recoupments

Requirements:

  • Knowledge of multi-specialty coding, CPT, and ICD codes
  • Experience with medical billing software, such as Imagine and ADS
  • Familiarity with gap exception and prior authorizations process
  • Familiarity with federal IDR arbitrations process
  • OON provider registration process with various payers
  • Knowledge of medical terminology, Hicfa, UB04, Tax ID, NPI
  • Strong attention to detail and persuasive communication skills
  • Excellent interpersonal and communication skills
  • Skillful use of Microsoft Office applications: Word, Excel, Teams, Power BI reporting

Compensation Package:

  • $62,500 - $72,000 annual salary, commensurate with experience
  • 401(k) matching program
  • Dental, health, life, and vision insurance
  • Employee assistance program
  • Paid time off and employee discount

The successful candidate will possess excellent analytical and problem-solving skills, with the ability to work in a fast-paced environment. If you meet the requirements and have a passion for revenue cycle management, we encourage you to apply.



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