Revenue Cycle Specialist Ii - Rockledge, United States - Health First

Health First
Health First
Verified Company
Rockledge, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Description:

***The Revenue Cycle Specialist II will be responsible for the review, minor analysis, trending and follow up of Third Party Claims Reimbursements to include the identification,
billing and collection of payments. The Revenue Cycle Specialist II will actively engage with other departments to ensure timely resolution of all outstanding accounts to ensure
maximum reimbursement.


PRIMARY ACCOUNTABILITIES

  • Demonstrate thorough knowledge of complex insurance correspondences to include explanation of benefits, remittance advices and denial letters.
  • Verify insurance benefits, understanding insurance payments, denials and correspondences through Advanced understanding and ability to navigate payer websites and vendor applicable systems.
  • Maintain established quality assurance and productivity benchmarks while utilizing best practice standards established.
  • Process all referrals in timeframe established by department.
  • Accurately update account in all systems to reflect work being preformed.
  • Communicate identified payment trends to leadership promptly and accurately and provide solutions to resolve challenges and issues.
  • Assist with training and mentoring of new hires.
  • Ensure compliance with state and federal laws regarding all aspects of role.
  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities._

Qualifications:


MINIMUM QUALIFICATIONS:


Education:
High School Diploma or GED


Licensure:
None
Required


Certification:
None
Required


Work Experience in Related Field:
One year experience in Healthcare Billing and/or AR follow up or related field

Work Experience in Lieu of Degree: N/A

Knowledge/Skills/Abilities:
Microsoft Office - Outlook, Word, Excel, PowerPoint


PREFERRED QUALIFICATIONS:


Education:
High School Diploma required or GED


Licensure:
None


Certification:
None


Work Experience in Related Field:
Two year progressive experience in Healthcare Billing and/or AR follow up or related field.

Work Experience in Lieu of Degree: N/A


Knowledge/Skills/Abilities:
Critical thinking, Decision-making skills


PHYSICAL REQUIREMENTS:


Sedentary - Office Workers

  • Sedentary work involves sitting most of the time
  • Walking and standing or lifting more than 10 pounds are required only occasionally
  • Must be able to tolerate long periods of computer time a day
  • Must be able to tolerate long periods of phone time a day
  • Ability to enter information using hand/wrist dexterity
  • Visual acuity and handeye coordination to preform various tasks

Job :
Medical Billing


Organization :
Health First Shared Svcs Inc


Primary Location :
United States

  • Florida
  • Brevard County
  • Rockledge

Schedule :
Full-time


Shift Times :8:00 am - 4:30 pm


Job Level :
Associate
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