Revenue Cycle Billing Specialist

Schedule: 8am to 4:30pm EST

GENERAL SUMMARY: 
 

The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.
 

Essential Duties and Responsibilities: 
 

• File claims using all appropriate forms and attachments 

• Handle Outbound calls and Maneuver between several different software systems 

• Research account denials and file written appeals, when necessary. 

• Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim. 

• Ensure the integrity of each claim that is billed. 

• Document in detail all efforts in CUBS system and any other computer system necessary. 

• Verify patient information and benefits.

Additional Duties and Responsibilities: 
 

• Meet specified goals and objectives as assigned by management. 

• Maintain good working relationships with state and Federal agencies. 

• Resolve accounts in a timely manner. 

• Always maintain confidentiality of account information.

• Adhere to the prescribed policies & procedures as outlined in the Employee Handbook and Employee Code of Conduct. 
• Maintain awareness of and actively participate in the Corporate Compliance Program. 

• Maintain a confidential and orderly remote work area. 

• Assist with other projects as assigned by management.
 

Educational/Vocational/Previous Experience Recommendations: 

• High school diploma or equivalent is required. 

• Formal training in the specialty of Insurance Billing preferred.

• Knowledge of all insurance payers preferred. 

• Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments 

• Ability to always present oneself in a courteous and professional manner 

• Ability to stay on task with little or no management supervision 

• Demonstrate initiative and creativity in fulfilling job responsibilities 

• Capacity to prioritize multiple tasks using time management and organizational skills. 

• Proficient PC knowledge and the ability to type 30-40 wpm.
 

Working Conditions: 
 

• Remote work from home office, virtual Call Center environment.

• Must be able to sit for extended periods of time.