Revenue Cycle Specialist - REMOTE - (Must Reside in FL)

Job description

Job Summary Under the direct supervision of the Revenue Cycle Supervisor, this position is responsible for ensuring the timely collection of accounts receivable, monitoring account activity, and providing appropriate follow-up to maximize reimbursement for physician billing. The ideal candidate will have a strong understanding of medical claims billing, denial management, and insurance follow-up in a fast-paced healthcare environment. Key Responsibilities: - Perform collection activities, including status calls, appeals, and account reviews to ensure timely reimbursement. - Research and resolve claims denials using appropriate internal and external resources. - Monitor denied claims to ensure corrections or appeals are completed promptly. - Review pre-bill claim holds to ensure claims are submitted cleanly the first time. - Ensure appropriate and accurate information is submitted to insurance companies to expedite payment. - Take proactive follow-up actions to secure payment on the first follow-up call or appeal whenever possible. - Compose and submit appeals to insurance carriers for denied claims. - Correct claims billed to incorrect insurance carriers and ensure authorizations a...