Revenue Cycle Specialist - Remote

There are multiple opportunities for individuals with STRONG Revenue Cycle experiences. Must have at least 2-5 years of revenue cycle experience as an Accounts Receivable, Billing & Charge Entry, or Cash Applications Specialist. Orthopedic/ Pain Management/ Ambulatory Surgery Center billing experience is highly preferred.

Accounts Receivable

Daily duties include the following responsibilities:

• Responsible for the entire revenue cycle of the assigned centers.
• Must have knowledge of ASC billing and coding. Out of network billing experience helpful.
• Payment posting for assigned centers as needed.
• Manage the process relating to overdue insurance and patient accounts, collections and/or write-offs.
• Maintains current knowledge of health care billing laws, rules and regulations and developments.
• Performs other job-related duties as assigned.

Charge Entry

Daily duties include the following responsibilities:

• Pulling operative notes from our designated transcription company.
• Prepping operative notes for transmission to our designated coding company.
• Review daily billing packet for your assigned center(s). Reviewing and verifying patient’s demographics in the designated practice management software (Vision or AdvantX). This review will also require general case knowledge in order to assess if any information is missing from the billing packet and/or if additional information must be requested.
• Maintaining and reviewing your assigned center(s) RFI (request for information) spreadsheet. Any information that is requested of your center (i.e., operative notes, POPM form, invoices or implant pricing etc) will be placed on the RFI spreadsheet and monitored by the biller and the ASC.
• After cases have been properly coded, these cases will be posted by the biller in the designated billing software. Coded cases are entered per ASC, NSN and contract guidelines.
• Completed cases are uploaded to our designated electronic claims clearinghouse.
• Clearinghouse rejections must be worked daily.
• Coded cases received prior to 3pm must be entered same day.

Payment Posting

Daily duties include the following responsibilities:

• Post Daily Cash and Correspondence received for Assigned Center.
• Post with a 99% accuracy ratio.
• Balance 100% to Deposit Log and Software.
• Locate Variances and Correct as soon as possible.
• Complete adjustments, transfers to collections, and refunds as assigned.
• Upload Daily Statements to Clearinghouse.
• Provide coverage to centers as assigned.
• Performs other job-related duties as assigned

Requirements

• At least 2-5 years of medical billing experience. Orthopedic/Pain management/ Ambulatory Surgery Center billing experience is highly preferred
• Sound judgement and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis
• The ability to communicate effectively, both verbally and in writing, with internal and external clients
• Work independently to identify and resolve complex client problems
• Be able to multi-task and handle competing priorities while meeting or exceeding deadlines
• Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems
• Ability to work independently and as a member of the team
• Must possess positive attitude to enhance a cooperative and energetic work environment
• Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards
• Proficiency in MS Word and Excel a must. Experience with Vision, AdvantX and/ or Zirmed is helpful.
• Reasoning ability.
• Healthcare background preferred.
• Basic coding knowledge and medical terminology is a plus.
• High School diploma or equivalent.