At Infinx, the team focuses on delivering technology solutions that help healthcare providers improve reimbursements and overcome revenue cycle challenges. The company supports physician groups, hospitals, pharmacies, and dental groups and emphasizes diversity, inclusivity, and a high-trust, high-performance culture.
This role is a hands-on, cross-functional revenue cycle position responsible for working directly in client EHR and billing systems across the full claim lifecycle. The specialist handles eligibility verification, demographic accuracy, claim submission, edit resolution, AR follow-up, denial management, and final account resolution.
The position is remote or hybrid in New Orleans, LA.
Required
- High School Diploma or GED
- 3-5 years of hospital and/or physician revenue cycle experience in at least two of the following: eligibility/benefits verification, demographic/registration data integrity, billing and claim edit resolution, AR follow-up, and denial management
- Hands-on experience submitting claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and/or payer-specific direct submission channels
- Familiarity with both facility (UB-04) and professional (CMS-1500) claim types
- Comprehensive knowledge of UB-04 and CMS-1500 claim forms, revenue codes, CPT/HCPCS, ICD-10-CM, and modifier usage
- Working knowledge of NCCI edits, MUE edits, LCD/NCD policy logic, and bundling rules
- Experience with major payer portals and EDI 270/271 eligibility transactions
- Strong analytical skills to interpret EOBs, remittance advices, contracts, and payment documentation
- Solid Excel skills and ability to work across multiple systems simultaneously
- Knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations
- Ability to prioritize workload and manage multiple responsibilities in a high-volume, metrics-driven environment
Preferred
- CRCR or CRCS certification
- 6+ years of cross-functional hospital revenue cycle experience
- Experience with credit balance resolution, underpayment recovery, or contract variance analysis
- Prior experience in a healthcare outsourcing or multi-client environment
- Bilingual English/Spanish patient-facing communication
Benefits and perks
- 401(k) retirement savings plan
- Comprehensive medical, dental, and vision coverage
- Paid time off
- Paid holidays
- Pet care coverage
- Employee assistance program (EAP)
- Discounted services
- Flexible work hours when possible
Location
New Orleans, Louisiana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago