Collections/Revenue Cycle Specialist

Description

Job Description:

• Accurate and timely billing of HCFA 1500 claims

• Understanding of CPT, ICD10, and HCPC coding

• Outbound telephone calls to insurance companies for claims resolution

• Follow existing billing/collection protocols for reimbursement

• Documentation of files with appropriate information

• Collaboration/coordination with Utilization Review

• Cross-training in Utilization Review

• Appeals for denied claims and front/back-end denials

• Collection efforts through calls and carrier websites

• Review accounts receivable for accurate reimbursement

• Manage DME business aspects for insurance verification

• Track incoming referrals and responses

• Utilize Salesforce for day-to-day responsibilities

• Manage high volume telephone calls for prior authorizations, appeals, and updates

• Research information for referral submissions and updates

• Full-time availability (8:00 am to 5:00 pm, M-F)

• Adherence to HIPAA, Confidentiality, and Privacy laws

• Other duties as assigned by Manager

Minimum Requirements/Qualifications:

• 2-5 years of healthcare billing and collections/financial experience

• Certified medical coder

• High School diploma or equivalent

• Worker's Compensation experience

• DME experience preferred

Requirements Data Entry, Customer Service, Medical Collections

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