Fairfax Neonatal Associates (FNA) is seeking a full-time Revenue Cycle Specialist to join its Medical Billing Operations team.
The role is responsible for ensuring timely and accurate billing of physician services, monitoring billing activity, and recommending corrective actions to address denials and improve reimbursement.
This is a remote position, with occasional reporting to the company headquarters in Fairfax, VA for in-person meetings, training, or other business needs.
Requirements & Qualifications
Key Responsibilities
- Manage the outpatient claims lifecycle, including claim creation, monitoring, corrections, resubmissions, and error resolution.
- Research and resolve outstanding claims and receivables through payer communication, internal collaboration, and appeals preparation.
- Review payment and adjustment data, manage assigned receivables and special projects, and report trends or recurring issues.
- Maintain accurate patient and guarantor information and coordinate with clinical teams to obtain necessary documentation or corrections.
- Verify insurance coverage, assist with coordination of benefits, and respond to claims-related inquiries.
- Process insurance credit-balance accounts for refunds in Athena, including verification and documentation.
- Assist with escalated patient account inquiries via telephone support.
Qualifications
- Knowledge of medical terminology, CPT/ICD-10 coding, payer requirements, and medical billing and collections processes.
- Understanding of the full billing lifecycle from demographics entry to collections.
- Ability to investigate and resolve claim issues, reconcile accounts, and follow HIPAA and organizational compliance standards.
- Strong communication, customer service, organizational, and problem-solving skills.
- Ability to manage competing priorities, meet deadlines, and work independently.
- Proficiency in Microsoft Office.
- Experience with Allscripts Practice Management (PM) and EHR PRO preferred.
- High school diploma or equivalent required.
- AAPC/AHIMA coding certification is a plus.
- Minimum 4 years of experience in medical billing, coding, or collections.
- Experience with Medicaid or third-party commercial insurance companies preferred.
- Athena collector experience preferred.
- Bilingual or multilingual proficiency is a plus.
Benefits & Perks
Benefits & Total Rewards
- High-quality medical, dental, and vision coverage.
- Company-paid life/AD&D, short-term disability, and long-term disability insurance.
- Paid time off (PTO).
- 401(k) retirement plan with employer profit-sharing contribution eligibility.
- Employee assistance program.
- Stability and growth potential with a company that has over 50 years of success.
Location
Virginia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago