Revenue Cycle Specialist

Physical Rehabilitation Network; Detroit (MI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading physical rehabilitation organization is seeking a Revenue Cycle Specialist to manage medical billing from home. This full-time role involves handling claims, resolving billing inquiries, and ensuring timely payment. Ideal candidates will have medical billing experience and a strong attention to detail.

Qualifications

• 2 years prior medical receivable collections experience preferred.
• Understanding of medical claims processing.

Responsibilities

• Manage primary and secondary claims.
• Respond promptly to billing inquiries.
• Resolve denials and submit appeals.

Skills

Medical Billing

Attention to Detail

Problem Solving

Education

High School/G.E.D

Job description

Title: Revenue Cycle Specialist
Location: REMOTE (must reside in below states)
Pay: $18-20/hr depending on experience and state

About the Role: If you LOVE working in a Revenue Cycle or Medical Billing in a fast-paced environment, but from the comfort of your own home, then this might be an exciting opportunity for you. We are rapidly growing and leading physical therapy (PT) clinic platform in the U.S. We own and operate 200+ PT clinics that provide a variety of outpatient rehabilitation services, including: physical therapy, occupational therapy, hand therapy and other ancillary services. Voted Glassdoor’s “Best Places to Work 2021”, we are seeking an independent and extremely detail oriented Medical Collector. The position is responsible for the full range of Payor follow up with different types of Payors. This position is full time (40 hours/week, Monday-Friday).

About Our Company (www.prnpt.com):

Founded in 1991, Physical Rehabilitation Network (PRN) is a physical therapy organization headquartered in Frisco, TX. We currently support over 200 independently owned and operated physical rehabilitation clinics across sixteen states with more than 1,800 employees.

As the leading, therapist-friendly physical rehabilitation organization in the west, our purpose is to provide our therapist partners full operational and administrative support so they can focus on what they do best deliver the highest levels of quality care and experiences for patients.

Must reside in these following states:

North Dakota, South Dakota, Idaho, Minnesota, Montana, New Mexico, Wyoming, Nevada, Texas, Arizona, Tennessee, Kentucky, Missouri, Oklahoma, Michigan, Arkansas

Job Duties:

• Manage primary and secondary claims
• Respond promptly to billing inquiries from patients, insurance companies and departments
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Resolve denials and submit appeals
• Utilizes the most efficient resources to secure timely payment of open claims
• Researches assigned correspondence and takes necessary action to resolve requests
• Ensures daily accomplishments contribute toward company goals for A/R
• Resolve accounts in follow-up queues

Job Requirements:

• High School/G.E.D requirement or equivalent combination of education and experience required
• 2 years prior medical receivable collections experience preferred
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Ability to understand claim denials/rejections
• Ability to read an Explanation of Benefits
• Knowledge of medical terminology

Education:

• High school or equivalent (Preferred)

Experience:

• Medical collection: 2 years (Preferred)

This job description is not intended to be all-inclusive. Employee may perform other related duties as assigned to meet the ongoing needs of the organization.

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

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