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Revenue Cycle Specialist I, Hospital Billing and Collections

Veterans in Healthcare

Under the direction of the supervisor, this role performs billing and collection activities for inpatient, outpatient, emergency, and professional services. Responsibilities span third-party insurance billing and collections, payer denial review, appeals processing, payment application, credit balance review and resolution, self-pay billing and collections, financial assistance, and bad debt applications.

The position supports hospital and professional accounts receivable operations and works with payer reimbursement requirements. It also involves patient and insurance follow-up, claim corrections, remittance review, payment posting, cash handling, and refund processing.

The role requires maintaining productivity and accuracy, meeting collection goals, providing excellent customer service, and collaborating with team members to improve work processes.

Requirements & Qualifications

High school diploma or equivalent.

At least 1 year of experience in a healthcare setting.

Preferred experience includes:

  • Working knowledge of self-pay or insurance billing and collections
  • Understanding of insurance terminology
  • Working knowledge of UB-04, CMS-1500, and EOB interpretation
  • Working knowledge of CPT, ICD-10, HCPCS, and modifiers
  • Knowledge of medical reimbursement policies and procedures
  • Epic EHR experience

Location

Arizona, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

2 months ago

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