Inpatient Revenue Cycle Specialist

BrightMove, Inc.; Philadelphia (Philadelphia County); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Tuition assistance

Paid time off

Job summary

Wills Eye Hospital in Philadelphia, PA is seeking a Revenue Cycle Specialist to provide top-notch billing services and efficiently manage inpatient claims. This full-time role focuses on accurate coding, timely submission, and appropriate reimbursement to impact the organization’s financial performance.

The ideal candidate will have healthcare revenue cycle experience, strong Excel skills, and the ability to work in a fast-paced clinical environment while maintaining attention to detail and

Qualifications

• High school diploma or GED required.
• 1-2 years of healthcare revenue cycle experience within a hospital setting.
• Knowledge of CPT, HCPCS, APC, ASC, DRG and ICD-10.
• Strong proficiency in Microsoft Excel.
• Ability to communicate clearly in written and verbal form.
• Knowledge of state and federal healthcare guidelines and regulations.
• Experience reviewing outstanding balances to resolution with Medicare, Medicaid, and commercial payors.
• Excellent time management and organizational skills.
• Ability to work independently and meet performance and quality goals.

Responsibilities

• Prepares and submits billing data and medical claims to insurance companies with accurate coding.
• Ensures patient medical information is accurate and up to date.
• Reports trends in denied claims or payment discrepancies to Business Office management.
• Bills inpatient medical claims within established timelines and initiates dialogue with payors, patients, and departments.
• Reviews billing documents for submission to insurance plans and government entities, clearing edits for clean claim submission.
• Understands payor contracts and applies calculations to resolve under/overpayments.
• Performs other duties as assigned.

Skills

Detail-oriented

Clear communication

Time management

Organizational skills

Team collaboration

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Cerner

NextGen Practice Management

Job description

Wills Eye Hospital in Philadelphia, PA is seeking a Revenue Cycle Specialist to provide top-notch billing services and efficiently manage inpatient claims. This full-time role focuses on accurate coding, timely submission, and appropriate reimbursement to impact the organization’s financial performance.

The ideal candidate will have healthcare revenue cycle experience, strong Excel skills, and the ability to work in a fast-paced clinical environment while maintaining attention to detail and