Revenue Cycle Management Specialist
Description
- Responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance payers.
- Must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as Commercial Insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations.
- Must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims.
- Specifically focused on the field related to Gastroenterologist’s claims
Functions
- Entry of insurance eligibility information, claim information, and demographic characteristics into a billing system
- Responsible for charge and payment entry within Electronic Health Record.
- Responsible for correcting, completing, and processing claims for all payer codes.
- Analyze and interpret that claims are accurately sent to insurance companies.
- Perform follow-up with insurance companies on unpaid insurance accounts.
- Process appeals online or via paper submission.
- Assist in reconciling deposit and patient collections.
- Assist with billing audit related information
Pay Rate
$15-20 per hour
