REVENUE CYCLE SPECIALIST

Bay Area Retina Associates, seeks a Revenue Cycle Specialist with a minimum of two years billing experience to become an integral part of our Billing/Collections team. This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller.

Primary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting charges/procedures and insurance/patient payments, balance to daily deposits consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement.

REQUIRED SKILLS

• Computer experience is essential, including, but not limited to practice management and EHR software, word processing and spreadsheet applications.
• Experience in CPT and ICD-10 coding; familiarity with medical terminology.
• Excellent customer service skills.
• Strong written and verbal communication skills.
• Ability to manage relationships with various Insurance payers.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Responsible use of confidential information.
• Perform to company standards of compliance with policies and procedures.
• Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

DETAILED WORK ACTIVITIES

• Ensure all charges are posted daily and submitted with a goal of zero errors.
• Verifies completeness and accuracy of all claims prior to submission.
• Accurately Post all insurance payments by line item either manually or electronically.
• Timely follow up on insurance claim denials, exceptions, or exclusions.
• Retrieve remittance advice when needed.
• Follows up on outstanding accounts receivables for both insurance and patient accounts. Meets deadlines.
• Reading and interpreting insurance explanation of benefits.
• Utilize Collection Worklist to follow up on unpaid claims aged over 30 days. Monthly aging report should also be utilized as an additional resource.
• Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
• Respond to inquiries from insurance companies, patients, and providers.
• Regularly meets with Revenue Cycle Supervisor to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.
• Perform additional duties as assigned and/or requested by Supervisory or Management team.

Job Type: Full-time

Pay: $17.00 - $25.00 per hour

COVID-19 considerations:
Employees are required to wear face mask at all times and . The office set-up follows COVID-19 requirements and is properly sanitized daily to protect the employees.