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Miami Jewish Health
Miami, FL | Full Time
$54k-68k (estimate)
1 Week Ago
NSN Revenue Resources
Miami, FL | Full Time
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Alivi
Miami, FL | Full Time
$60k-80k (estimate)
1 Month Ago
NSN Revenue Resources
Miami, FL | Full Time
$44k-56k (estimate)
2 Months Ago
Talentry
Miami, FL | Full Time
$187k-262k (estimate)
2 Months Ago
HCA Florida Kendall Hospital
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NorthPoint Search Group
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Revenue Cycle Specialist
Alivi Miami, FL
$60k-80k (estimate)
Full Time 1 Month Ago
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Alivi is Hiring a Revenue Cycle Specialist Near Miami, FL

SUMMARY
The primary responsibility of this position is to identify and analyze circumstances that result in an open claim status. This involves coordinating tasks to guarantee that both external and internal deadlines are adhered to, facilitating the prompt processing and resolution of open claims. The objective is to conclusively settle all claims within the designated timely submission period. This encompasses but is not limited to, overseeing the coordination of billing procedures and conveying identified trends and patterns to relevant stakeholders while accurately applying contractual obligations and service level agreements during the execution of billing operations.
DUTIES & RESPONSIBILITIES
  • Identifies and performs a root cause analysis for any systemic issues associated with adjudicated claims that may impact upstream billing to the health plans and provides follow-up with internal and external parties as applicable to address reasons for denial.
  • Demonstrates knowledge of insurance regulations and policies, payment policies/guidelines, and the ability to communicate and work with payers to get claims resolved and paid accurately.
  • Review payer 277/277CA and 835 responses and adjust the claim accordingly.
  • Accurately and efficiently review patient demographic and insurance data in our proprietary billing system as it relates to covered services and areas.
  • Files and tracks the progress of appeals and reconsiderations of claim decisions by assigned payer(s).
  • Identifies and communicates trends and patterns that reflect deficiencies in the revenue cycle process that require multi-department collaboration and/or systematic development.
  • Serve as the point of contact for all inquiries from health plans, while providing superior customer service and effectively communicating with insurance companies to ascertain claim status and specific claim dispositions.
  • Maintain the strictest confidentiality; adhere to all HIPAA (Health Insurance Portability and Accountability) and other industry rules and regulations.
REQUIREMENTS
  • College education in health services administration, accounting, business, or similar discipline or equivalent experience.
  • Knowledge of medical billing and coding.
  • Certified Coding Specialist (CCS)/Certified Coder Associate (CCA)/AAPC - CPC Certified Professional Coder desirable.
  • Minimum of 1 year experience in end-to-end revenue cycle management.
  • Experience with clearinghouse platforms and RCM systems, preferably Waystar, Optum, and Availity.
  • Experience working independently and as a member of various teams and/or workgroups.
  • Strong computer skills and knowledge of MS Office products with intermediate Excel level.
  • Ability to quickly navigate between different system platforms.
  • Strong written and verbal communication skills.
  • Strong organizational skills, problem-solving, and analytical skills.
  • Acute attention to detail.
  • Bilingual (English/Spanish) is desirable.
 
COMPETENCIES
  • Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification before acting; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Writes clearly and informatively, Edits work for spelling and grammar.
  • Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
  • Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Job Summary

JOB TYPE

Full Time

SALARY

$60k-80k (estimate)

POST DATE

04/11/2024

EXPIRATION DATE

08/06/2024

Alivi
Full Time
$38k-39k (estimate)
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Alivi
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$34k-41k (estimate)
1 Day Ago

The job skills required for Revenue Cycle Specialist include Billing, Accounts Receivable, Problem Solving, HIPAA, Presentation, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Cycle Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue Cycle Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Revenue Cycle Specialist positions, which can be used as a reference in future career path planning. As a Revenue Cycle Specialist, it can be promoted into senior positions as a Revenue Cycle Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Cycle Specialist. You can explore the career advancement for a Revenue Cycle Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Revenue Cycle Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Revenue Cycle Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Revenue Cycle Specialist job description and responsibilities

A revenue cycle specialist oversees crucial financial tasks, specifically payment and collections, within a healthcare organization such as a hospital or clinic.

04/03/2022: Binghamton, NY

There are plenty of departments charged with making sure these things happen, but only a revenue cycle specialist oversees all of those departments.

02/26/2022: Saginaw, MI

Most revenue cycle specialist offer services like follow-up calls, past-due billing, and collections management.

03/27/2022: Madison, WI

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Revenue Cycle Specialist jobs

A certified revenue cycle specialist (CRCS) has passed an exam administered by the American Association of Health Care Administrative Management (AAHAM).

04/06/2022: Laramie, WY

Find out what a revenue cycle specialist does and how to become one.

04/11/2022: Springfield, MA

Step 3: View the best colleges and universities for Revenue Cycle Specialist.

Florida Southern College
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