Patient Revenue Cycle Specialist with DailyPay

WellSpan Health; Leola (PA); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Comprehensive health benefits

Paid time off (PTO)

Short-term disability

Education assistance

DailyPay

Job summary

WellSpan Health in Pennsylvania seeks a Full-time Revenue Cycle Specialist to complete assigned claims related tasks and assist in submitting electronic/manual insurance claims. You will follow up on denials and disputes, ensuring timely payment in line with payer regulations.

The role requires strong communication, familiarity with payer rules, and experience with healthcare billing systems, preferably Epic. Monday–Friday days, 40 hours per week, with comprehensive benefits offered.

Qualifications

• High School Diploma or GED required.
• 1 year of work experience required.
• Excellent communication and interpersonal skills.
• Familiarity with payer rules and policies.
• Familiarity with healthcare billing systems (Epic preferred).
• Familiarity with medical and billing terms to interpret edits and remittance advice.

Responsibilities

• Corrects financial and demographic information entered into Epic.
• Reviews and submits hospital and physician claim forms to insurers via electronic or manual processes.
• Resolves claim edits to facilitate timely billing and reimbursement.
• Performs follow-up with insurance companies to obtain claim status and payment information.
• Submits itemized bills, medical records, and corrected claims as needed.
• Reviews remittance advice (835) to ensure proper reimbursement.
• Accesses payer sites for policy reviews, claim investigations, and disputes.
• Coordinates with other departments on precertification, preauthorization, and referrals for managed care.
• Makes inquiries to third-party payers to reconcile accounts and follows up until zero balance or turnover to collections.
• Reviews third-party payments and takes corrective action for underpayment or denial.

Skills

Communication

Payer rules

Epic system

Billing terminology

Education

High School Diploma or GED

Tools

Epic

Job description

WellSpan Health in Pennsylvania seeks a Full-time Revenue Cycle Specialist to complete assigned claims related tasks and assist in submitting electronic/manual insurance claims. You will follow up on denials and disputes, ensuring timely payment in line with payer regulations.

The role requires strong communication, familiarity with payer rules, and experience with healthcare billing systems, preferably Epic. Monday–Friday days, 40 hours per week, with comprehensive benefits offered.