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    Revenue Cycle Specialist - Charleston, United States - Coastal Pediatric Associates

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    Job Description

    Job DescriptionDescription:Spring in to your new careerBecome a vital member of Coastal Pediatric Associate's Billing Department where you will be performing all aspects of the revenue cycle; including but not limited to, insurance AR, claims follow-up and reporting, patient billing, collections reporting, and claims submission in a timely, efficient manner. We are the largest and fastest growing pediatric practice in the Lowcountry. Join us at the Coast

    Benefits and Perks:

    · Medical, Rx, Dental, Vision

    · HSA, HRA, HIA

    · Telehealth

    · Life & Disability

    · Employee Assistance Program

    · Paid holidays and vacation

    · 401k

    · Convenient Locations & free parking

    · Paid Volunteer Opportunities

    · Education Assistance

    Revenue Cycle Specialist Responsibilities to Include:

    • Handles all billing questions, patient portal questions, patient cases and voicemails from parents/patients, insurance companies, law offices, and other CPA staff in a timely fashion (resolved within 72hrs)
    • Financial counseling to guarantor/patient as needed, arrange payment plans per billing department/practice policies
    • Collects co-payments, deductibles, and other out of pocket amounts via phone or other available means
    • Manage patient, insurance, and collections AR by using best practices by Athena or other established workflows as directed including but not limited to: Patient Contact/Outreach, insurance carrier contact/outreach, and interdepartmental communications when needed to resolve the issue.
    Requirements:
    • High school diploma or equivalent
    • Current working knowledge of ICD-10, CPT, HCPCS (Healthcare Common Procedure Coding System), Modifiers, and HIPAA
    • Prior physician outpatient experience required
    • Customer Service Experience (preferably in a medical office setting or call center)
    • Basic understanding of a variety of health plans including but not limited to Medicaid Fee for Service, Managed Medicaid Plans, Federal Payers, and a variety of commercial payers
    • Knowledge of the life of a revenue cycle
    • Strong analytical skills for claims analysis and reporting
    • Prior EMR software experience (ATHENA) preferred but not required
    • Strong working knowledge in computer skills: Excel, Word, and other cloud-based computing
    • Basic knowledge of pediatric coding practices, including but not limited to Federal Vaccine Program requirements (VFC)
    • Prior Coding and or Insurance AR experience (CPC, CSS, CPB, or related certifications preferred but not required)
    • Ability to speak, read and write effectively
    • Ability to work independently without direct supervision
    • Ability to coordinate, analyze, observe, make decisions, and meet deadlines, in a detail-oriented manner
    • Ability to work weekdays


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