Revenue Cycle Specialist

Job Summary

To support the efficient management of insurance claims, the full-time Revenue Cycle Specialist will be responsible for the accurate submission of claims, follow-up on denials, and reconciliation of patient accounts in a remote work environment.

Key responsibilities

• Manage the timely submission of claims and responses to denials while interfacing with internal and external departments to resolve discrepancies
• Analyze and correct patient invoices or accounts to ensure clean claim submissions and maintain work queues
• Research and resolve issues related to payments, insurance denials, and billing discrepancies, while documenting collection activities thoroughly

Required qualifications

• High School Degree
• Two (2) years of experience in hospital or physician insurance-related activities, including authorization, billing, follow-up, call center, or collections
• Basic understanding of health insurance plans, policies, and procedures