Job Description

GENERAL SUMMARY:The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Essential Duties and Responsibilities:

• File claims using all appropriate forms and attachments

• Handle Outbound calls and Maneuver between several different software systems

• Research account denials and file written appeals, when necessary.

• Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.

• Ensure the integrity of each claim that is billed.

• Document in detail all efforts in CUBS system and any other computer system necessary.

• Verify patient information and benefits.

Additional Duties and Responsibilities:

• Meet specified goals and objectives as assigned by management.

• Maintain good working relationships with state and Federal agencies.

• Resolve accounts in a timely manner.

• Always maintain confidentiality of account information.

• Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.

• Maintain awareness of and actively participate in the Corporate Compliance Program.

• Maintain a confidential and orderly remote work area.

• Assist with other projects as assigned by management.

Educational/Vocational/Previous Experience Recommendations:

• High school diploma or equivalent is required.

• Formal training in the specialty of Insurance Billing preferred.

• Knowledge of all insurance payers preferred.

• Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments

• Ability to always present oneself in a courteous and professional manner

• Ability to stay on task with little or no management supervision

• Demonstrate initiative and creativity in fulfilling job responsibilities

• Capacity to prioritize multiple tasks using time management and organizational skills.

• Proficient PC knowledge and the ability to type 30-40 wpm.

Working Conditions:

• Remote work from home office, virtual Call Center environment.

• Must be able to sit for extended periods of time

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