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Revenue Cycle Billing Specialist
Revenue Cycle Billing SpecialistFirst Source LLC • Louisville, KY, United States
Revenue Cycle Billing Specialist

Revenue Cycle Billing Specialist

First Source LLC • Louisville, KY, United States
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Schedule : 8am to 4 : 30pm

Pay : $18 to $22 per hour, D.O.E.

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.

Payment Posting Responsibilities

  • Accurately post payments, denials, and adjustments from electronic remittance advice (ERA), explanation of benefits (EOB), and paper remits.
  • Reconcile daily deposits and batches to ensure accuracy and completeness.
  • Research and resolve unidentified payments, recoupments, and posting discrepancies.
  • Apply contractual adjustments and write-offs according to payer agreements.
  • Maintain accurate documentation of all payment posting activities.
  • Collaborate with billing and collections teams to resolve issues impacting payment posting.
  • Generate and review reports for payment posting accuracy and reconciliation.
  • Ensure compliance with HIPAA, CMS, and payer-specific regulations.
  • Assist with month-end balancing and reporting in coordination with accounting.
  • Identify opportunities for process improvement and workflow optimization.
  • 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.
  • We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

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    Revenue Cycle Specialist • Louisville, KY, United States

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