Revenue Cycle Specialist | Revenue Integrity
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AI Summary
Remote flexibility meets meaningful healthcare financial impact in this Revenue Cycle Specialist opportunity.
💻 Work Style: Fully Remote
📍 Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, NC, SC, TN, TX)
🕒 FTE: Full-Time (1.0 FTE)
Oversees the entire patient billing process to ensure accuracy and timely claim submissions. Verifies patient insurance coverage, resolves billing discrepancies with providers and insurers, and analyzes accounts receivable to manage outstanding payments. Guides patients through payment options and financial assistance programs while ensuring compliance with healthcare regulations and billing policies. Supports revenue cycle improvements and system upgrades and collaborates with internal teams to enhance revenue collection efforts.
Responsibilities
Key Responsibilities
- Manages patient billing processes to ensure accurate and timely claim submission.
- Verifies patient insurance coverage and resolves billing discrepancies.
- Analyzes accounts receivable and follows up on outstanding balances.
- Assists patients with payment options and financial assistance programs.
- Ensures compliance with healthcare billing regulations, policies, and procedures.
- Supports revenue cycle initiatives, process improvements, and system enhancements.
- Collaborates with billing, clinical, finance, and customer service teams to improve revenue collection and operational efficiency.
Qualifications
Education
• High School Diploma or GED required
Experience & Skills
- 2+ years of experience in patient billing and revenue cycle operations.
- Knowledge of insurance verification, claims submission, and reimbursement processes.
- Experience resolving billing discrepancies and managing accounts receivable.
- Strong customer service, communication, and problem-solving skills.
- Familiarity with healthcare billing regulations, payer guidelines, and organizational policies.
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