What are the responsibilities and job description for the Healthcare Revenue Cycle Specialist position at Heritage Medical Associates, P.C. and Careers?
THIS IS NOT A REMOTE POSITION
Job Summary
HMA is seeking a detail-oriented Healthcare Revenue Cycle Specialist with a strong understanding of the claims revenue cycle. This role is responsible for managing denied and outstanding insurance claims, submitting appeals, maintaining insurance queues, and providing exceptional customer service to patients and staff. The ideal candidate will demonstrate a comprehensive understanding of insurance billing guidelines, benefit interpretation, and carrier-specific requirements.
Key Responsibilities
- Process and resolve denied insurance claims in a timely and accurate manner.
- Submit corrected claims and supporting documentation or appeals as required.
- Review and maintain insurance work queues until claims are resolved.
- Communicate professionally with insurance carriers, providers, patients, and internal staff.
- Accurately update patient account information and apply adjustments per company policies.
- Audit patient accounts for accuracy and compliance with insurance policies.
- Respond to patient inquiries regarding insurance coverage, balances, and payment details.
- Identify and escalate denial trends to management for resolution.
- Apply discounts and adjustments in accordance with HMA guidelines.
- Receive, sort, and address incoming correspondence daily.
- Support other administrative tasks and special projects as assigned.
Qualifications
- High school diploma or equivalent required.
- 3–5 years of experience in third-party medical billing, preferably in a physician's office.
- Strong knowledge of Medicare, Medicaid, managed care, and commercial insurance policies.
- Proficient in ICD-10 and CPT coding standards.
- Experience with medical billing software and systems.
- Exceptional customer service, verbal and written communication skills.
- Highly organized, self-motivated, and able to work independently.
- Strong problem-solving skills and attention to detail.
Job Type: Full-time
Pay: $17.00 - $27.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- How many years of experience do you have in Medicare, Medicaid, managed care, and commercial insurance policies?
- What are your hourly pay expectations?
Experience:
- third party medical billing: 3 years (Preferred)
- ICD coding: 1 year (Preferred)
Work Location: In person
Salary : $17 - $27