Revenue Cycle Specialist

7 days ago


Baltimore, Maryland, United States Health Care for the Homeless Full time
Revenue Cycle Specialist

We are seeking a highly skilled Revenue Cycle Specialist to join our team at Health Care for the Homeless. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely processing of insurance claims, managing accounts receivable, and resolving denials and appeals.

Key Responsibilities:
  • Perform a variety of revenue cycle functions, including charge and payment posting, authorization management, and electronic claims submission.
  • Responsible for accurate and timely insurance claims follow-up and accounts receivable resolution with payers, including appeals and submission of corrected claims.
  • Accountable for aged claims and special accounts receivable projects.
  • Adhere to government regulations, payer contracts, and insurance guidelines when performing insurance follow-up, resolving open accounts, and appealing claims.
  • Identify and report inefficiencies and opportunities that enhance revenue flow, decrease denials, and minimize write-offs.
Requirements:
  • Exceptional detail orientation, critical thinking, analytical, and problem-solving skills.
  • Proficiency in government, commercial, and/or insurance payer claims follow-up, denial resolution, and appeals processes.
  • Ability to interpret and apply insurance payer billing guidelines, claim rules, and contract terms.
  • Knowledge of CPT and ICD coding systems.
  • Ability to collaborate and work cohesively as part of a team.
  • Strong communication skills, both written and verbal.
  • Excellent interpersonal and customer service skills to interact and maintain relationships with a wide range of personalities.
  • Strong organizational skills necessary with strong accountability and drive.
  • Demonstrated proficiency with databases and spreadsheets.
  • Able to cope with interruptions, be flexible, and be a team player.
Preferred Qualifications:
  • Certified Professional Coder (CPC) certification.
  • Experience in and knowledge of Medicare/Medicaid/Commercial payer guidelines.
  • Experience with Athena Practice Management.
  • Familiarity with insurance verifications and prior authorizations.
  • Experience working in a federally qualified health clinic (FQHC).

We are an equal opportunity employer and are committed to racial equity and inclusion. We make a particular effort to recruit and promote Black, Indigenous, and People of Color (BIPOC) for open positions. BIPOC, LGBTQIA+ individuals, people with disabilities, and people with other marginalized identities are encouraged to apply.



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