Senior Revenue Cycle Specialist
New
I
IVX HealthHealthcare Infusion Therapy
Remote - US, Monday - Friday, during regular business hoursFull-TimeSenior
Salary26 - 27.5 USD per hour
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Job Details
- Experience
- 5-7 years
- Required Skills
- Microsoft OfficeQuality Assurance
Requirements
- High School Diploma or GED.
- 5-7 years of experience working in full revenue cycle in a facility or physician office setting.
- 2 Year / Associates Degree in Medical Office Managing, Medical Insurance, or Medical Coding is strongly preferred.
- Certified Professional Coder (CPC) or Certified Professional Biller (CPB) certification is a plus.
- Proficiency with standard office software (Microsoft Office, Outlook, Teams).
- Excellent organizational, consultative, analytical, and problem-solving skills.
- Strong interpersonal skills with the ability to adjust communication style.
- Knowledge of basic medical terminology.
- Ability to work independently and multitask in a fast-paced environment.
Responsibilities
- Engage daily with market leaders to assist with denials requiring local intervention.
- Review and respond to escalated emails and facilitate appeals.
- Train new colleagues on follow-up processes to ensure proficiency.
- Review clinical documentation and obtain medical necessity support for payer appeals.
- Manage underpayment reports and lead overpayment report reviews and refund submissions.
- Collaborate with Prior Authorization, Contracting, and Credentialing teams to resolve denials.
- Perform QA for payment posting, insurance follow-up, coding, and financial counseling.
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