Sr. Revenue Cycle Billing Specialist
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AI Summary
Role Description:
The primary objective of the Senior Revenue Cycle Billing Specialist is to effectively recover outstanding payments from aging medical insurance claims, whether working in an office setting or directly at the client's location.
Roles & Responsibilities
- Complete claim submissions with all requisite forms and attachments
- Investigate denials and initiate written appeals as needed
- Assess client-provided information to determine the appropriate insurance to bill, and secure necessary attachments and supporting documentation for each claim
- Research account details to identify essential attachments or supporting documents for inclusion with each claim
- Safeguard the accuracy and integrity of all billed claims
- Thoroughly document all actions in the CUBS system and other relevant computer systems
- Validate patient information and insurance benefits
- Craft written appeals for account resolutions
- Compose correspondence to clients when necessary
- Achieve assigned goals and objectives set by management regularly
- Uphold the confidentiality of account information consistently
- Engage actively in the Corporate Compliance Program and maintain awareness
- Assist with other projects delegated by management
- Foster positive relationships with state and Federal agencies
- Expedite the resolution of accounts in a timely manner
- Maintain a well-organized and tidy workspace
Preferred Educational Qualifications
- High school diploma or equivalent required
Preferred Work Experience
- 1 – 3 years experience in insurance billing preferred.
Competencies & Skills
- Familiarity with all insurance payers is advantageous
- Proficiency in PC operations and a typing speed of 30-40 words per minute
- Demonstrates professional written and verbal communication abilities
- Exhibits the aptitude to prioritize multiple tasks in a fast-paced work setting
- Possesses strong organizational and time management skills
- Displays a consistently courteous and professional demeanor
- Self-motivated and capable of staying focused with minimal supervision
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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