Revenue Cycle Specialist

Job description

Essential Functions: - Collaborate with revenue cycle manager RCM in the planning, implementation, administration, and evaluation of projects that have the potential to increase access revenue, improve service, or results in cost reduction. - Communicates with personnel in all areas of Spectrum including attending departmental meetings - Attend all insurance provider representative meetings as well as lead provider meetings when RCM is not present or available - Strong customer service skills answering client patient and carrier calls prompt return and follow up to all interactions prompt response to requests for information - Timely management of charge entry and accounts receivable as assigned using the Athena workflow dashboard claims workless self-pay workless patient refund work list and accounts receivable aging wizard - Effectively handle complex payer denials and front-end rejections - Liaison with patients and insurance companies to address incorrect coordination of benefits or demographic related issues - Responsible for ensuring secondary claims and properly formatted submitted and followed up on in a timely manner - Expertly add specific data such as modifiers payers’ s...