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icims

Revenue Cycle Specialist

Newport Healthcare
Remote, USA
Full-time
Mid · 3+ years experience
Remote
Discovered 1 weeks ago

Full Job Posting

Key Performance Responsibilities

  • Accurate and timely submission of patient demographic and insurance information.
  • Verify patients’ eligibility and benefits, reverify when necessary.
  • Submit clean claims to payers electronically and via mail.
  • Manage relationships with various insurance payers.
  • Follow up with insurance companies on denied and rejected claims to ensure timely resolution.
  • Monitor patient accounts receivable and follow up on outstanding balances with the goal to reduce delinquency.
  • Identify and pursue opportunities for improvements in billing process and denial resolution.
  • Respond to patient inquiries regarding billing and insurance.
  • Maintain accurate and up-to-date records of all claims and patient accounts
  • Perform other duties as assigned.

Education, Experience, License Requirements

  • High School Diploma/GED required. Bachelor’s degree in business or related field preferred (statistics, computer science, analytics).
  • Minimum three (3) years’ experience in revenue cycle related roles with emphasis on benefit verification, billing and AR follow-up.
  • Experience in CPT and ICD-10 coding; familiarity with medical terminology

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