Revenue Cycle Specialist

Job Summary

A company is looking for a Revenue Cycle Specialist I.

Key Responsibilities

• Analyze and adjust/reprice claims to ensure accurate reimbursement rates
• Identify errors in reconciliation files and perform contract and reimbursement variance analysis
• Produce evaluative and statistical reports to ensure the integrity and accuracy of revenue cycle data

Required Qualifications, Training, and Education

• Claims repricing, pricing configuration, or provider maintenance experience required
• 3+ years of relevant experience or equivalent combination of education and work experience
• High School Diploma or equivalent required
• Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable