Revenue Cycle Specialist
New
F
FoodsmartHealthcare revenue cycle
Remote (US)Full-TimeJunior
Salary50,000 - 65,000 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- 1-3 years of experience in medical billing, claims submission, or denials management
- Required Skills
- Microsoft ExcelGoogle Workspace
Requirements
- Have 1–3 years of experience in medical billing, claims submission, or denials management.
- Have working knowledge of the claim lifecycle, including CMS-1500/837 claims, CPT/ICD-10 coding, EOBs/ERAs, and common denial reason codes.
- Be comfortable using Google Suite and Excel, including sorting and filtering; pivot tables and VLOOKUPs are preferred.
- Communicate clearly in writing and verbally; comfort working with health plans to resolve payment issues is preferred.
- Be detail-oriented and analytical.
- Be comfortable switching priorities when urgent work arises.
- Work independently on assigned tasks and know when to ask for help.
- EMR or RCM software experience, such as Candid, is a plus.
- Medicaid or Medicare billing experience is a plus.
- Registered dietitian, nutrition services, or food billing experience is a plus.
Responsibilities
- Prepare and submit accurate, timely claims to health plans and keep claims moving through the billing cycle.
- Research denied and rejected claims, identify root causes, make corrections, and resubmit them.
- Flag recurring denial and rejection patterns to help address issues at their source.
- Monitor claim status and follow up with health plans and RCM partners to resolve payment issues.
- Help prepare claims and billing reports and keep documentation up to date.
- Investigate aged claims, payer-specific issues, and other ad hoc billing problems.
- Partner with finance, product, and engineering to share claims observations and test process or system improvements.
- Support billing communications and questions from patients and health plans.
View Full Description & ApplyYou'll be redirected to the employer's site
