Revenue Cycle Specialist

Infinx; Oregon; Hybrid; USD 45.000 - 75.000; Vollzeit

Benefits dieser Stelle

401(k)

Medical/Dental/Vision

Paid Time Off

Paid Holidays

Pet Care Coverage

EAP

Zusammenfassung

Infinx is seeking a Revenue Cycle Specialist to accurately process medical billing claims and resolve discrepancies for timely reimbursement. This role requires attention to detail, knowledge of medical terminology, and the ability to work independently in a fast-paced environment.

You will review and submit claims, follow up with payers, handle appeals, and maintain billing records while collaborating with diverse healthcare clients from a remote location.

Qualifikationen

• High school diploma or equivalent required.
• 5 years of insurance AR and post-claim follow-up experience.
• Knowledge of medical terminology and insurance industry.

Aufgaben

• Processing insurance billing and collections incl. Medicaid/Medicare claims per policies.
• Reviewing, verifying, and submitting insurance claims.
• Responding to patient requests and payer inquiries.
• Following up with payers to ensure timely payments.
• Investigating unresponsive claims and resubmitting when needed.
• Handling claim denials and filing appeals for maximum reimbursement.
• Answering calls and resolving billing issues; maintaining records.

Kenntnisse

Attention to detail

Customer service

Verbal communication

Written communication

Multi-tasking

Team collaboration

Reading comprehension

Ausbildung

High School diploma or equivalent

Tools

Word

Excel

Jobbeschreibung

About Our Company:

At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work In 2025, Infinx was certified as a Great Place to Work in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

Location: Remote

Summary Description:

The Revenue Cycle Specialist will be responsible for accurately processing medical billing claims, reviewing and resolving any billing discrepancies, and ensuring timely reimbursement from insurance companies. This role requires strong attention to detail, proficiency in medical terminology, and the ability to work independently and collaboratively in a fast-paced environment.

Job Responsibilities:

• Performs various functions in the processing of insurance billing and collections, including Medicaid/Medicare claims according to the established policies and procedures
• Reviews, verifies, and submits insurance claims
• Processes correspondence from Third Party Payers and responds to patient requests
• Follows up with insurance companies and ensures claims are paid properly and in a timely manner
• Investigate insurance claims that have received no response and resubmit if necessary
• Claim rejection handling
• Filing claim appeals with insurance companies to ensure maximum reimbursement
• Answers telephones and provides/obtains information to resolve billing and collection issues
• Maintains supporting billing information for future reference or audit purposes

Skills and Education:

• High School Diploma or equivalent
• 5 years of insurance AR and post-claim follow-up experience
• Payment posting experience preferred
• Physician claim billing experience preferred
• Knowledge of medical terminology
• Knowledge of medical insurance industry
• Skilled in using computer programs and applications (Word, Excel, etc)
• Excellent customer service skills
• Strong written and verbal communication skills
• Ability to read, understand, and follow oral and written instructions
• Ability to communicate clearly and conciselyAbility to establish and maintain effective working relationships with patients, employees, various insurance payers, and the public
• Ability to multi-task, work independently and as a team as well as courteously and respectfully with fellow employees, clients, and patients
• Ability to prioritize workload and manage multiple responsibilities effectively

Company Benefits and Perks:

Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

• Access to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and Vision Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.