Specialist, Revenue Cycle - Onsite

Job description

Position Summary ?? The Revenue Cycle Specialist will be responsible for the day-to-day operation in the following areas: billing, Claims resolution, A/R follow-up, Credit Balance, EDI Billing, or Posting. Under the direction of the Manager the specialist will be responsible for handling all functions related to the designated area and any other duties assigned by management.??? Duties and Responsibilities: ? ? Please Note:? The list of responsibilities detailed above is not a comprehensive list, nor is it intended to be a list of all responsibilities and duties of the RCM specialist. ? - ?? Responsible for claim submissions to Urgent Care payors in accordance with all insurance regulations and requirements. - Process Urgent Care Payor credit card payments. - ? Provide all necessary documentation required by payors to resolve claim issues or denials, including medical records, prior authorizations, audits, etc. - ? Analyze and research all denials and over or under payments, with focus on Medicaid/Medicare. - ? Ensure all payor correspondence is reviewed and followed up on immediately. - ?? Provide exceptional customer service and communication to payors and resolve any accounts re...