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Revenue Cycle Specialist
Skills
AppealsAthenaDenial ManagementMedical BillingMedical ClaimsOperationsOptimization
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- High School Graduate
- 3+ years experience in a medical billing office or equivalent claims experience
- Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims
- Experience with athenaHeath and/or athenaOne required
- Orthopedic medical claims billing experience preferred
- Advanced Microsoft Excel skills preferred
- Experience with California payers and portals preferred
- Must comply with HIPAA rules and regulations
Nice to have
- Analytical
- Detail-oriented
- Independent decision-making
- Collaborative
- Process-driven
Day to day
- Manage assigned accounts receivable with close attention to aging trends and root-cause analysis
- Investigate insurance denials and take prompt action to resolve issues through appeals resubmissions and claim adjustments
- Collaborate with internal teams practice staff and physicians to strengthen revenue cycle performance and support reimbursement goals