Facilities Revenue Cycle Specialist
United StatesFull-TimeMiddle
Salary17 - 20 USD per hour
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Job Details
- Experience
- 1–2 years of experience in health insurance claims processing, denials management, or healthcare accounts receivable
- Required Skills
- Microsoft OfficeHIPAA
Requirements
- High school diploma required; additional healthcare billing or revenue cycle training preferred
- 1–2 years of experience in health insurance claims processing, denials management, or healthcare accounts receivable
- Strong understanding of facility billing practices, payer systems, and consolidated billing guidelines preferred
- Knowledge of HIPAA regulations, Medicare, Medicaid, and insurance reimbursement methodologies
- Excellent attention to detail with strong critical thinking and analytical abilities
- Ability to manage multiple priorities, meet deadlines, and work in a fast-paced environment
- Strong communication and interpersonal skills
- Proficiency in Microsoft Office tools (Excel, Word, Outlook, etc.)
- Self-starter mindset with adaptability
Responsibilities
- Review, process, and manage facility claims at various stages of the revenue cycle to ensure timely and accurate reimbursement
- Monitor and analyze outstanding accounts receivable, identifying issues and recommending solutions to improve client performance
- Initiate and maintain communication with facility payers to resolve claim deficiencies and prevent future billing issues
- Prepare, review, and issue facility invoices on a scheduled or ad hoc basis in accordance with client requirements
- Maintain payer and facility contact lists to support efficient communication and issue resolution
- Collaborate with supervisors and revenue cycle management teams to prioritize work and ensure adherence to SLAs and compliance standards
- Track performance metrics, support reporting needs, and contribute to ongoing process improvement initiatives
- Provide backup support to team members and assist with additional operational tasks as needed
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