Rev Cycle Specialist: Prior Authorizations & Appeals

Prism Vision Group; New Jersey; On-site; USD 29,453 - 61,165; Full time

Job summary

Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence.

Candidates should possess a High School Diploma with 3 years of experience in a medical billing environment and familiarity with CPT and ICD-10 coding. Strong communication, problem-solving, and organization skills are essential.

Qualifications

• 3 years of hands-on experience in a fast-paced medical billing environment.
• Familiarity with CPT and ICD-10 coding.
• Previous experience in a healthcare setting is required.

Responsibilities

• Respond to inquiries from insurance carriers.
• Pursue reimbursement from carriers.
• Identify and respond to patterns of denials.
• Review and resolve uncollected accounts.
• Appeal carrier denials.

Skills

Strong communication skills

Customer service skills

Problem-solving skills

Organization and time management

Effective computer skills

Knowledge of insurance guidelines

Education

High School Diploma or GED

Job description

Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence.

Candidates should possess a High School Diploma with 3 years of experience in a medical billing environment and familiarity with CPT and ICD-10 coding. Strong communication, problem-solving, and organization skills are essential.