What are the responsibilities and job description for the Revenue Cycle Specialist position at OptySuite?
Overview
Join our dynamic healthcare team as a Revenue Cycle Specialist, where your expertise will drive the financial health of our organization. In this vital role, you will manage the entire revenue cycle process for professional billing, ensuring accurate coding, billing, and collections to optimize revenue flow. Your proactive approach and attention to detail will help streamline operations, improve cash flow, and enhance patient satisfaction. This position offers an exciting opportunity to work with cutting-edge EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems while making a tangible impact on healthcare delivery.
Responsibilities
- Review and analyze medical records to ensure accurate coding using CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes for proper billing and reimbursement.
- Assign appropriate ICD coding based on documented diagnoses and procedures to facilitate precise billing and reporting.
- Process medical claims efficiently through EMR/EHR systems, ensuring compliance with insurance requirements and regulatory standards.
- Follow up on unpaid or denied claims by conducting thorough medical collections efforts, including resubmissions and appeals.
- Collaborate with medical office staff to verify patient information, insurance details, and ensure completeness of medical records for billing accuracy.
- Maintain detailed documentation of billing activities, claim statuses, and collection efforts to support audit readiness.
- Stay updated on industry regulations related to medical coding standards, including ICD coding updates and changes in CPT classifications.
Skills
- Strong knowledge of medical terminology, medical records management, and healthcare documentation practices.
- Proficiency in medical coding including CPT coding, ICD-9, ICD-10, and ICD coding systems.
- Experience with medical billing processes and medical collection strategies to maximize revenue recovery.
- Familiarity with EMR/EHR systems such as Athena for claim submission, record keeping, and data management.
- Ability to interpret complex medical records accurately for coding purposes.
- Excellent attention to detail with a focus on accuracy in all aspects of the revenue cycle process.
- Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. This role is ideal for motivated professionals eager to leverage their expertise in medical coding and billing within a fast-paced healthcare environment. Your dedication will directly contribute to delivering quality care while ensuring the financial stability of our organization.
Pay: $20.00 - $24.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $20 - $24