
Healthcare Revenue Cycle Specialist Position
1 week ago
Job Title:
Healthcare Revenue Cycle SpecialistAt our organization, we are seeking a highly skilled Healthcare Revenue Cycle Specialist to join our team. In this critical role, you will be responsible for handling US Healthcare providers/physicians/accounts receivable, working closely with the team leader, and ensuring that deliverables to clients adhere to quality standards.
Responsibilities:
- Handle US Healthcare providers/physicians/accounts receivable.
- Work closely with the team leader.
- Ensure that deliverables to clients adhere to quality standards.
- Responsible for working on denials, appeals, rejections, LOAs to accounts, etc.
- Review emails for any updates.
- Identify issues and escalate them to the immediate supervisor.
- Update production logs.
- Adhere strictly to company policies and procedures.
Required Skills and Qualifications:
- Sound knowledge in healthcare concepts (physician billing).
- Minimum 2 years of AR calling experience.
- Excellent knowledge of RCM, Medicare, Medicaid, Hospice, HMO, PPO, POS, EPO, MCO plans, modifiers, office code visit, CPT codes, drug codes, appeals, denial management, CMS-1500 form, clearing house, etc.
- Understand client requirements and project specifications.
- Be proficient in calling insurance companies.
- Meet targeted collections daily/monthly.
- Meet productivity targets within stipulated time.
- Accurately and timely follow up on pending claims when required.
- Prepare and maintain status reports.
Benefits:
Our organization offers a comprehensive benefits package, including health insurance, retirement savings plan, paid time off, and opportunities for professional growth and development.
Others:
If you are a motivated and detail-oriented individual with a passion for delivering excellent results, we encourage you to apply for this exciting opportunity.
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