Reports to the Revenue Cycle Manager and/or Administrator of Revenue Cycle Services. The Revenue Cycle Specialist is responsible for patient phone support, accounts receivable follow-up, insurance correspondence, claim refiling, charge entry and editing, payment posting, refund analysis, and account maintenance.
The role includes working claims and adjustments, updating patient demographic information, posting payments, handling refund requests, supporting collection efforts, and resolving issues with patients, physicians, and insurance companies.
Requirements & Qualifications
Education
- High school diploma or GED required
Experience
- Less than 3 years of experience in a medical practice, customer service, or revenue cycle department
Knowledge and Skills
- Knowledge of medical insurance and managed care plans
- Familiarity with CPT, ICD-9, and ICD-10 codes
- Ability to read and understand Explanation of Benefits (EOBs)
- Knowledge of FDCPA and bankruptcy-related processes
- Strong attention to detail and ability to work thoroughly on special projects
Certification
- CPC required for designated trainer positions and for those involved in coding directly from the chart
Benefits & Perks
Benefits
- Work from home opportunity after training
- Equipment provided
- Paid time off
- Medical, dental, and vision coverage
- 403(b) with match
- Opportunity for growth
Location
Kentucky, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
2 weeks ago