Job Description
Summary
Friend Health is seeking a strong revenue cycle specialist with healthcare claims and collections experience.
Applicants must be knowledgeable in the areas of follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim submission and aggressive follow up efforts to secure payer reimbursement in a timely fashion. This applicant would also be responsible for posting payments and payment reconciliation.
The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.
Essential Job Duties & Responsibilities
Daily essential duties and responsibilities, includes insurance verification, ticket review and claim submission, payment posting, claim follow up which includes claim research and resolution for resubmission. The Revenue Cycle Specialist will also work on other revenue cycle related task as needed which and may include data collection for UDS data reporting, Medicare and Medicaid credit balance reports, and 340B pharmacy revenue tracking .
Experience
- A minimum of four years of experience in performing outpatient medical billing in a FQHC setting, including encounter rate billing (preferred)
- Experience with Centricity/Athena (Preferred)
- Strong communication skills, written, spoken and active listening.
- Experience using Office 365, including outlook, share point, excel, and word.
- Experience with reading and understanding explanation of benefits and the ability to post payments and follow up denied/rejected claims according to department guidelines and protocol.
- The ability to multitask, handle large volumes of work and maintain accuracy.
- Advanced analytical skills, the ability to follow instructions and problem solving.
- Understanding the urgency of retrieving and responding to voicemail messages timely
- Mathematica skills, 10 key Calculator, Scanner, Printer and Faxing skills.
- Medical Terminology and ICD10/CPT coding principles
- Understanding HIPAA including maintaining the security of patient information
- Three years’ experience of Medicare, State of Illinois Medicaid, Managed Care billing.
Educational Requirements Billing Certification or Coding Certification; Associate degree in Finance/Accounting preferred.
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