Revenue Cycle Specialist

New

Brave HealthHealthcare billing

Applicants hired into this position can work from most statesFull-TimeMiddle

Salary$24 – $26 per hour

Apply NowOpens the employer's application page

Job Details

Have a high school diploma or GED.
Have 3+ years of revenue cycle management experience.
Bring familiarity with accounts receivable processes and extensive healthcare accounts receivable and collections experience.
Be able to analyze claims data, identify trends, and suggest mitigation strategies.
Have a history of working in digital or virtual health.
Have experience using medical billing systems such as Candid Health or Healthie.
Know medical coding principles, denials, and payer-specific requirements.
Understand Medicaid, Medicare, and commercial insurance billing processes.
Demonstrate attention to detail, accuracy, and prioritization.
Have customer service experience resolving patient and payer inquiries.
Adhere to HIPAA and regulatory compliance guidelines.
Fluent in Spanish (preferred).
Be proficient in Microsoft Excel and Word (preferred).
Have a background in mental or behavioral health billing (preferred).

Identify denial trends and suggest process and system improvements.
Research and resolve unpaid, denied, and rejected claims, including communicating with payers and submitting denials.
Handle EDI transactions, including reconciling payer submissions, edits, and rejection reports.
Partner with the Insurance Verification team to identify upstream impacts on claims processing.
Complete collection activities in line with payer guidelines and filing limits, and document actions.
Review posted payments and process account adjustments as appropriate.
Monitor patient accounts for non-payment, delayed payment, and billing irregularities, and take appropriate steps to resolve them.
Investigate and respond to patient billing inquiries.

View Full Description & ApplyYou'll be redirected to the employer's site