Synergy is growing again and we are looking to add an experienced Revenue Cycle Specialist to our team! The Revenue Cycle Specialist determines and verifies insurance coverage and coordination of benefits from all sources and ensures proper, adequate and timely billing to ensure prompt payment.

Come join our team as a Revenue Cycle Specialist! 

Responsibilities:

• Confirm insurance coverage. Determine necessity for pre-authorization and obtain authorization for scheduled procedures.
• Determine financial responsibility for services to be provided. Notify patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
• Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
• Prepare and complete claims for commercial insurance companies, third party organizations and/or government or self payers.
• Research, analyze and reconcile Recovery Works, Medicaid & Commercial billing and reimbursement practices.
• Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process.
• Consult with appropriate parties to resolve unbilled claims. Review recent accounts for proper billing practices and reimbursement.

Education and Experience:

• High school diploma or GED required.
• Back office,insurance authorization &/or billing experience required.