Revenue Cycle Denials & Reimbursement Specialist

Phaxis; Charlotte (NC); On-site; USD 40,000 - 65,000; Full time

Job summary

Phaxis is seeking a billing professional to serve as a billing resource in Charlotte, NC. You will answer questions on payer requirements and patient accounts, and follow up on unpaid or underpaid claims to support timely revenue collection.

You will research claim issues, interpret explanations of benefits, and work with coding and reimbursement teams to resolve billing problems, driving improvements across the revenue cycle.

Responsibilities

• Serve as a billing resource answering questions related to payer requirements, denials, and patient accounts
• Follow up on unpaid and underpaid insurance claims to support timely collection
• Research claim issues and complete corrections, reconsiderations, and appeals
• Review and interpret explanations of benefits to ensure payments are reconciled
• Identify trends involving denials, underpayments, and overpayments
• Partner with coding, charge and reimbursement teams to resolve billing issues
• Recommend process improvements that strengthen revenue cycle performance
• Coordinate medical-record requests and process insurance
• Communicate with patients to research and resolve payment related inquiries
• Manage and resolve billing cases
• Collaborate with clinic managers and revenue cycle staff to improve procedures

Job description

Phaxis is seeking a billing professional to serve as a billing resource in Charlotte, NC. You will answer questions on payer requirements and patient accounts, and follow up on unpaid or underpaid claims to support timely revenue collection.

You will research claim issues, interpret explanations of benefits, and work with coding and reimbursement teams to resolve billing problems, driving improvements across the revenue cycle.