Revenue Cycle Specialist

Hiregy is looking for qualified Medical Collections and A/R specialist with a full working knowledge of the Revenue Cycle Process. 

Type: Contract to hire

Schedule: Training - 8am-4:30pm, After 90 days shift start range between 7:30am - 9:00am start.

Pay: Hourly, depending on experience  

Job Description

  • Takes appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal.
  • Works in their assigned queues daily and accomplishing the set goal totals for the individual queues weekly. Works aging reports and/or denial report.
  • Performs collection activities, such as status calls to ensure timely reimbursement, appeals and account review.
  • Resubmit any corrected claims for reimbursement.
  • Review explanation of benefits to ensure the claims have processed per our contractual agreement identifying underpaid/overpaid claims.
  • Ensuring appropriate information is submitted to insurance companies in order to expedite payment.
  • Request and prepare appropriate adjustments and refund requests based on contract, modifiers or appeal denials.
  • Knowledge of contractual reimbursement per specialty.
  • Knowledge of when multiple surgical reductions apply.
  • Handle incoming calls for information request from insurance companies and patients within 24 hours.
  • Works to understand the procedures billed in operative notes to maximize appeals written or bundling issues.
  • Contact the patient for additional information when necessary as well assist patient with any billing or collection questions.
  • Reallocate misapplied payments and adjustments.
  • Work special assignments when needed.
  • Utilizes the coding resources (CPT, ICD-10, CDR, AAOS books) to understand procedures that are denied.
  • Ensures the authorizations are correct on accounts.
  • All other duties as assigned.
  • Documents accounts correctly.

Requirements and Qualifications                               

  • Minimum 2 years in a physician office Setting
  • HS Diploma
  • Minimum 2 years Prior Collections Experience
  • Working Knowledge of Medical Terminology, ICD-10, CPT-codes and modifiers
  • Team player
  • MS Office proficient- Word, Excel, PowerPoint, and Outlook
Category:Accounting/Finance
City/State/Zip:Tampa, Florida 33637
Job ID:9696
 

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