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[Hiring] Revenue Cycle Specialist- Follow up Primary Care @St. Elizabeth Healthcare

Work from home Full-time role Hiring

Role Description Reports to the Revenue Cycle Manager and/or Administrator of Revenue Cycle Services, the Revenue Cycle Specialist is primarily responsible for receiving and responding to patients’ phone calls within one (1) business day, working A/R reports and Explanations of Benefits from insurance companies. They are responsible for:

  • Working correspondence, refiling unpaid or incorrectly paid claims, and accurately updating or correcting patient demographic or profile information.
  • Filing claims to all insurance companies.
  • Analyzing and responding to refund requests as indicated by the insurance companies.
  • Entry and editing of all charges.

Qualifications

  • Knowledge of medical insurance, managed care plans, CPT, ICD9 and ICD10 codes.
  • Ability to read and understand Explanations of Benefits from all insurance companies.
  • Knowledge of FDCPA and Bankruptcy.
  • Detailed and thorough work on special projects as assigned.

Requirements

  • Minimum: High School Diploma/G.E.D.
  • Knowledge of Microsoft Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills.
  • Less than 3 years of experience in a medical practice, customer service or revenue cycle department.
  • CPC required for designated trainer positions as well as those involved in coding directly from the chart.

Benefits

  • Work from Home Opportunity after training (Equipment Provided)
  • Paid Time Off
  • Medical, Dental, and Vision
  • 403b with Match
  • Opportunity for Growth

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