Revenue Cycle Specialist
G
Grace Community Care and Homes Inc.Healthcare Revenue Cycle
New Jersey, United StatesFull-TimeMiddle
Salary21.56 - 24.57 USD per hour
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Job Details
- Required Skills
- HIPAA
Requirements
- Strong knowledge of ICD-10 coding
- Knowledge of CPT / HCPCS codes
- Familiarity with CMS claim forms
- Understanding of medical billing workflows
- Experience handling claim denials and appeals
- Excellent organizational and documentation skills
- High level of accuracy and attention to detail
- Ability to manage multiple claims and deadlines
Responsibilities
- Prepare, review, and submit insurance claims (Medicaid and other payers)
- Verify ICD-10, CPT, and HCPCS codes for proper reimbursement
- Submit claims electronically and track claim status
- Investigate denied or rejected claims and prepare appeal documentation
- Resubmit claims and follow up with payers
- Maintain organized billing records and claim documentation
- Ensure compliance with HIPAA and healthcare regulations
- Track accounts receivable and monitor aging claims
- Improve billing workflows to maximize reimbursement
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