Revenue Cycle Specialist

Job Overview

Revenue Cycle Specialist -ON SITE - Center for Retina & Macular Disease

Center for Retina & Macular Disease has operated in the central Florida area for over 30 years. Our vision is to provide the most advanced treatment options to generations of patients. With a team of 5 American Academy of Ophthalmology certified physicians and more than 75 expertly trained staff in six locations, Center for Retina & Macular Disease is one of the largest medical and surgical ophthalmology practices in Central Florida.

Competitive Benefit Package: Employer paid medical for employee only, dental, Health Savings Plan, Vision, employer paid Life & AD&D, 401k, voluntary Term Life, short-term disability, employer paid long-term disability, employer paid scrubs, 7 holidays, and PTO, bereavement, continuing education reimbursement.

JOB SUMMARY: This position is responsible for the timely submission and follow-up of technical or professional claims to insurance companies for all patient accounts. This position is on-site only.

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:
Balances daily posted batches from previous day.
Posts monthly refund checks.
Claim follow-up of assigned insurance companies.
Generates reports to identify claim errors prior to claim filing.
Tracks denials.
Sends medical records.
Sends appeals.
Performs audit functions as needed.
Contacts patients, when necessary, to obtain necessary information for accurate claim processing.
Communicates with physicians and lead technicians to ensure accurate claim processing.
Identifies any patterns of denials and reports to Billing Supervisor.
Properly notates accounts with information related to claim follow-up status.
Corrects rejected claims in clearinghouse system.
Participates in answering patient phone call rotation.
Explains charges and/or balances
Obtains and processes patient payments
Sends patient requested information
Must comply with all HIPPA and safety policies, procedures, and regulations.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. To meet the business needs of the company duties, responsibilities, and activities may change at any time with or without notice.

EDUCATION AND EXPERIENCE:
Associates degree in accounting or 2 years experience, or equivalent combination of education and experience.

KNOWLEDGE, SKILLS AND ABILITIES:

Technology Proficiency: Candidates must be able to effectively use Microsoft Office/Microsoft 365 applications, including but not limited to Microsoft Teams, Outlook, Word, Excel, and other Microsoft programs as required to perform the essential functions of the position. Additional software and technology platforms may be required based on business needs.
Knowledge basic accounting principle
Strong attention to detail with a dedication to accuracy
Excellent verbal and written communication skills
Excellent customer service skills
Familiarity with accounts receivable function
Ability to work independently and as part of a team
Knowledge of ModMed preferred

WORKING CONDITIONS AND PHYSICAL EFFORT:
Full-time position with a work schedule of Monday through Friday 8:00am to 5:00pm.
Position operates in a professional office environment requiring minimal physical activity.
Building meets required ADA standards and we will make reasonable accommodations to enable individuals with disabilities to perform the essential functions of the job.

Physical demands include but are not limited to:
The ability to sit, stand, walk, and use hands and fingers to operate a computer keyboard, mouse, and telephone to talk and hear.
The ability to frequently sit and reach with hands and arms.
The ability to occasionally lift and/or move up to 25 pounds.
Must be able to utilize office equipment such as desktop/laptop computers, copiers, printers, scanners, telephones and calculators.

Pay: From $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Vision insurance

Experience:

• Medical Billing: 2 years (Required)

Work Location: In person

Salary : $18