Job Description

Revenue Cycle Specialist

Generates revenue by entering charges, submitting claims to payers, posting remits, working rejections, and reviewing/working accounts receivable; making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts.

This is a full-time position. Benefits include health and dental insurance, 401(k), and paid time off. This job requires the employee to work at a physical location in Bibb County, specifically in Centreville, Alabama.

Responsibilities & Duties

• Enters charges daily. Submits claims to insurance companies and government entities (including Medicare and Medicaid). Posts remits as available. Works rejections and accounts receivable.
• Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
• Maintains medicare bad-debt cost report by tracking billings; monitoring collections; compiling information.
• Processes professional office visits and specialty services such as OB/GYN, surgical, and wound care: filing claims, posting payments, investigating delinquent balances, and otherwise maintaining patient accounts.
• Maintains work operations by following policies and procedures; reporting compliance issues.
• Maintains quality results by following standards and assures daily productivity through diligent work effort.
• Updates job knowledge by participating in educational opportunities.
• Serves and protects the Foundation community by adhering to professional standards, Foundation policies and procedures, federal, state, and local requirements, and JCAHO standards.

Qualifications:

• Required:
• Time management, organization, attention to detail, documentation skills, analyzing information, general math skills, resolving conflict, teamwork, punctuality and attendance, proficient, accurate data entry, customer service and effective, congenial phone skills, communicate professionally even in contentious situations.
• Preferred:
• 1-2 years of recent medical billing experience
• CH-CBS Certification (Community Health - Coding and Billing Specialist)
• Functional with billing software and other internet applications

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