Job Title: Revenue Cycle Specialist

Duration: 6 Months

Location: Federal Way, WA (100% Remote)

Job Description Summary:

Essential duties and responsibilities:

Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refund packets, retractions, and/or adjustments to claims

Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims

Use critical thinking, root cause analysis, and problem solving skills to resolve issues on outstanding claim balances

Uses strong organizational skills to effectively manage large amounts of detailed information

Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.

Contributes to implementation of process improvement initiatives aimed at improving credit department

Ensures compliance by using established internal control procedures by examining records, reports, operating practices, and documentation

Stay current on communications relating to healthcare reimbursement and regulatory changes

Understand and adhere to all policies, laws and regulations applicable to this role

Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Participate in group settings and team work environment

Qualifications:

High School Diploma or equivalent required

Healthcare and medical claim overpayment remediation and refunding experience is required

2-4 years’ experience with accounting, transactions, or medical billing/accounting systems required

Knowledge or experience working with a variety of health care insurance payers is preferred

Intermediate computer proficiency in Microsoft Office including Excel and Outlook- required