Do you have experience working in hospital registration, billing and/or accounting systems? Do you have a strong knowledge of claim denial management, medical terminology, and patient health records? Join Nemadji's team dedicated to healthcare facilities and patient service.
The Revenue Cycle Specialist is responsible for advanced account verification, eligibility inquiries, obtaining proof of coverage and authorizations from payers, and billing claims.
Responsibilities:
- Perform advanced verification of account statuses to determine appropriateness for billing.
- Request and obtain documentation of patient's coverage via phone calls, web inquiries, and written requests.
- Perform data entry for selected project functions and communicate effectively with external entities such as payers, Social Security, etc.
- Add coverage to client systems and initiate claim submission, monitor account activity for payment or denial, and perform follow-up on denied or underpaid claims.
Requirements & Qualifications
- High School Diploma
- Minimum of 2 years' experience in medical billing and working claim denials.
- Proficient with Windows OS and Microsoft Office (Word, Excel, Outlook).
- Ability to work independently and in teams in fast-paced, high-volume environments with accuracy and timeliness.
- Solid understanding of medical billing rules and practices including coordination of benefits.
- Knowledge of hospital registration, billing, and/or accounting systems.
- Professional certification such as CRCS-I, CPAR, or equivalent.
Benefits & Perks
- 401k Retirement Savings Plan with Company Match
- Generous monthly HSA contributions
- 80% Employer-paid Medical Premiums
- Free Dental, Life, Long & Short-Term Disability Insurance
- Vision Insurance
- 10 Paid Holidays
- Generous PTO (3 weeks first year, increases with service)
- Employee Recognition Programs
- Company Sponsored Events
- Paid Volunteer Hours (8 hrs/year)
- Casual Work Environment
- Employee Assistance Program (EAP)
- Excellent Work/Life Balance
- Education Reimbursement Program
- EEO/AAP Employer, Drug Free Workplace
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago