Revenue Cycle Specialist (Biller)

Northwest Eye Surgeons, Inc.; Fully; On-site; CHF 22,000 - 24,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) Plan with employer contribution

Company Paid Life Insurance

Generous PTO/Holiday

EEO Statement

Job summary

Northwest Eye Surgeons, Inc. is seeking an Billing/Coding Specialist to answer patient calls, manage denials, and handle AR reporting within benchmarks. The role requires understanding ICD-10/CPT coding and collaboration across teams.

You will review coding, research denials, and ensure timely follow-up on all accounts, while communicating guidelines to clients and staff and striving to meet AR targets.

Qualifications

• Good working knowledge of medical terminology and anatomy.
• Knowledge of current third-party billing regulatory guidelines.
• Strong interpersonal skills and ability to work in a team.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Demonstrate excellence in communication skills, both verbal and written.

Responsibilities

• Performs initial charge review to determine ICD-10 and CPT codes for reporting physician services to third-party payers.
• Review and research insurance denials from remittances, correspondence, or Clearinghouse rejections in a timely manner.
• Provide timely follow-up on all outstanding AR using the practice management worklist reports and payer portals.
• Ensure timely communication of denials or trends requiring the practice's knowledge and actions.
• Work collaboratively with RMC team members and offices to ensure account accuracy and issue resolutions.
• Effectively communicate payer billing guidelines to clients and staff in a timely manner.
• Consistently meet or exceed client AR objectives in aging categories (30,60,90+).
• Performs other related duties as required.

Skills

Medical terminology

Interpersonal skills

Independent work

Communication skills

Education

High school diploma

Billing or Coding Certification

2 years CPT/ICD-10 coding experience

Tools

Payer portals

Clearinghouse systems

Practice management software

Job description

Description

Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.

Job Type

Full-time

Description

Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.

Duties / Responsibilities

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
• Review and research insurance denials received through insurance remittances, correspondence, or Clearinghouse rejections in an accurate and timely manner.
• Provide timely and efficient follow-up on all outstanding AR using assigned by the practice management worklist reports, using various systems including payer portals, phone inquiries, and/or written communications.
• Ensure timely communication of denials or trends that require the practice's knowledge and/or actions.
• Work collaboratively with other RMC team members and offices to ensure overall account accuracy and issue resolutions are completed.
• Effectively communicate payer billing guidelines to clients and other staff in a timely manner.
• Consistently meets and/or exceeds client AR objectives in each outstanding aging category (30,60,90+) Work denials and worklist within 24 hours of receipt.
• Performs other related duties as required and assigned.

Requirements

• Good working knowledge of medical terminology and anatomy is required.
• Knowledge of current third-party billing and collection regulatory guidelines and requirements.
• Good interpersonal skills and a basic understanding of team management concepts.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Demonstrate excellence in communication skills, ability to convey information verbally and in writing

Education And Experience

• A high school diploma or GED completion is required.
• Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment.
• Two (2) years experience with CPT ICD-10 coding of physician services preferred.

Benefits

• Competitive Salary $19 - $21
• Medical, Dental, and Vision Insurance
• Robust Ancillary Benefits
• 401(k) Plan with employer contribution
• Company Paid Life Insurance
• Generous PTO/Holiday
• EEO Statement

Salary Description

$19 - $21