Revenue Cycle Specialist
Description
Align ENT & Allergy is currently seeking a detail-oriented and experienced Revenue Cycle Specialist to join our team. We are seeking a detail-oriented Revenue Cycle Specialist to manage key aspects of the revenue cycle process, including Insurance Verification, Prior Authorization, Commercial Insurance Cash Posting, and Accounts Receivable Resolution.
Responsibilities
- Manage healthcare billing processes, including claim creation, submission, and follow-up.
- Submit claims electronically or via paper and monitor their status for timely reimbursement.
- Follow up on outstanding accounts receivable to resolve unpaid claims and minimize aging.
- Analyze denied claims to identify trends and implement strategies to reduce future denials.
- Collaborate with insurance companies and patients to resolve billing inquiries and disputes.
- Communicate effectively with patients and internal stakeholders regarding billing issues.
- Generate and send patient statements; respond to billing inquiries.
- Review AR metrics to identify trends and areas for improvement.
Requirements
- Minimum of 3 years of experience in revenue cycle management or medical billing
- Minimum of six months of experience working with eClinicalWorks
- Strong understanding of medical coding (ICD-10, CPT) and billing processes
- Experience with insurance claim submission and reimbursement
- Excellent attention to detail and analytical skills
- Strong problem-solving and decision-making abilities
- Excellent communication and interpersonal skills
- Ability to work independently and collaboratively in a team-oriented environment
- Physician practice revenue cycle experience preferred
****Prior to applying, please fill out this assessment.
Benefits
Pay to commensurate with experience.
Benefits:
401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
Day shift
- Monday to Friday
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