Revenue Cycle Specialist
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Job Description
Revenue Cycle Specialist processing physician and clinic insurance claims for BrightView Health. Managing documentation, billing rejections, resubmissions, and third-party payer follow-up.
Responsibilities:
- Prepare and submit physician and clinic claims to third party insurance carriers electronically or by hard copy billing
- Secure needed medical documentation required or requested by third party insurances
- Follow up with third party insurance carriers on unpaid claims until paid or only self-pay balance remains
- Process rejections by making accounts private and generating a letter of rejection to patients, or correct billing errors and resubmit claims
- Work with physician or medical record staff to ensure correct diagnosis and procedures are reported
- Ensure proper documentation and charge entry of patient charges
- Keep updated on billing and insurance changes for third party insurance carriers
- Monitor claims for missing information and authorization/control numbers
- Demonstrate knowledge of and support clinic mission, vision, values, standards, policies, procedures, operating instructions, confidentiality standards, and code of ethical behavior
- Maintain third party billing logs
- Ensure documentation complies with regulatory agency requirements and best practices
Requirements:
- High School Diploma or equivalent required
- Self-motivated and self-directed
- Proficient computer skills including Microsoft Office
- Knowledge of billing software preferred
- Bachelor’s degree in accounting, health care administration, finance, business, or related field preferred
- 2 years previous experience as a medical biller or in a related healthcare administrative position preferred
Benefits:
- PTO (Paid Time Off)
- Immediately vested and eligible in 401k program with employer match
- Company sponsored ongoing training and certification opportunities
- Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance
- Tuition Reimbursement after 1 year in related field
- Competitive compensation
- Supportive work environment dedicated to professional growth and development
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