Revenue Cycle Specialist

Company Description

Axiva Health Solutions is committed to providing compassionate, comprehensive care for patients requiring infusion therapies such as immunoglobulin (IVIg), infliximab, and specialty meds.

Axiva Health Solutions is looking for a driven Revenue Cycle Specialist to support our reimbursement efforts through focused insurance follow-up and billing support. This role is ideal for someone who thrives on resolving claims, reducing AR, and identifying root causes of denials while ensuring accurate, compliant billing. Candidates should have prior experience in medical billing, insurance follow-up, or revenue cycle operations, with a strong understanding of payer processes and claim resolution.

You'll be joining a collaborative team that values accountability, problem-solving, and continuous improvement. We welcome candidates who are eager to make a meaningful impact.

Role Description

This is a full-time role for a Revenue Cycle Specialist. This is a hybrid position tha requires some onsite work at our Lenexa, KS location .

Essential Duties and Responsibilities

• Utilizes available resources to research and resolve claim denials.
• Ensures posting accuracy through careful review of electronic remittance advices (ERA).
• Creates and accepts claims from clearing houses and resolves claim rejections.
• Ensures receipt and validity of all documents needed to prepare and submit all billing and claimsaccurately.
• Bills and collects on major medical claims for home infusion, ambulatory infusion, and/orspecialty pharmacy.
• Completes and submits all necessary claim forms and electronic claims to process them inaccordance with the timely filing requirements set by all third-party payors.
• Provides all necessary documentation required to expedite payments. This includes, but notlimited to, demographic, authorization/referrals, National Provider Identification (NPI) number,and referring physicians.
• Coordinates with inter-departmental associates to obtain appropriate documentation as neededfor billing.
• Communicates with leadership on a daily and/or weekly basis regarding any outstanding claimsissues related to system, authorizations, wrong pay plans, nursing notes.
• Conducts frequent phone contact with provider representatives, third party customer servicerepresentatives, pharmacy staff, and case managers as needed.
• Verifies that payments received are correct and according to company’s fee schedules, and thatclaims are processed correctly against billing and industry standards and regulations and matchour contract agreements with individual providers.
• Follows up on payment variances and appeals in an efficient and timely manner.
• Efficiently utilizes all functions of the company's software applications (CareTend), includingmaintaining accurate and detailed charts and notes.
• Other duties as assigned.

Schedule: Full-time, Monday-Friday

Required Education/Experience

• High school diploma or equivalent
• Minimum 2 - 3 years’ recent experience in medical billing and collections
• Strong verbal and written communication skills Proficient computer skills, including MS Office (Word, Excel)
• A/R experience with denials, appeals, and follow up

Preferred Education/Experience

• Wellsky/CareTend/CPR (Software platform) experience
• Home Infusion experience strongly preferred

Job Type: Full-time

Pay: From $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• High school or equivalent (Preferred)

Experience:

• AR with denials, appeals and follow up : 2 years (Required)
• recent medical billing and collectios: 2 years (Required)

Ability to Commute:

• Lenexa, KS 66215 (Required)

Ability to Relocate:

• Lenexa, KS 66215: Relocate before starting work (Required)

Work Location: Hybrid remote in Lenexa, KS 66215

Salary : $26