
Revenue Cycle Management Specialist
3 days ago
We are seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle management team, you will play a critical role in ensuring timely and compliant billing of charges for medical services rendered.
">Key Responsibilities:
">- ">
- Prepare and submit accurate claims to insurance carriers based on payer requirements and billing guidelines.">
- Ensure timely and compliant billing of charges for medical services rendered.">
- Scrub claims to detect and correct coding errors, modifiers, or missing information.">
- Coordinate with coding, AR, and eligibility teams to resolve billing-related issues.">
- Track and follow up on rejected or denied claims and initiate re-submissions.">
- Maintain up-to-date documentation and billing records in client systems.">
- Stay informed about payer rules, CMS guidelines, and billing regulation updates.">
Required Skills and Qualifications:
">- ">
- Must have B.Com or M.Com degree.">
- Experience in US healthcare billing with a US healthcare BPO or outsourcing company.">
- Knowledge of CPT, ICD-10, HCPCS codes, and modifier usage.">
- Familiar with commercial and government payers (Medicare, Medicaid, etc.).">
- Strong communication skills - verbal and written.">
- High attention to detail and analytical thinking.">
- Proficient in billing platforms such as Kareo, AdvancedMD, Athena, or similar systems.">
- Passionate about revenue cycle and process improvement.">
- Goal-oriented and able to meet productivity and quality benchmarks.">
- Collaborative team player with the ability to work independently when needed.">
- Committed to continuous learning and professional growth.">
Work Environment:
">Our team operates within a structured framework but expects individuals to be proactive and analytically independent in their area of responsibility.
">Employment Type: Full-Time
Shift: [US Shift/Night Shift EST/EDT hours]
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