Revenue Cycle Specialist

Ne Obgyn; San Antonio (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Northeast OB/GYN is seeking a revenue cycle specialist to support billing operations at the San Antonio campus. You will review claims, denials, and aging tasks, ensuring timely payments and accurate submissions.

Collaborating with insurance companies, patients, and internal teams, you will maintain regulatory knowledge and drive continual process improvements.

Qualifications

• Team player with strong collaboration.
• Enthusiastic and eager to learn.
• Dedicated and reliable.
• Detail oriented with meticulous accuracy.
• Self-starter who can initiate tasks independently.

Responsibilities

• Maintains detailed knowledge of revenue cycle functions.
• Reviews and completes work log tasks in the system by working through claim edits, denials, and aging tasks; turns in daily productivity reports as required.
• Works accounts receivable to ensure timely payments from insurance.
• Initiates claim submissions, performs account review, and ensures work is accurate and complete.
• Identifies trends, conducts follow‑up, and performs root cause analysis on unpaid accounts.
• Responds to inquiries and calls from patients or staff members.
• Reviews websites, bulletins, and other resources to maintain current knowledge of regulatory requirements and relays information to Manager and team members.
• Performs insurance eligibility verifications and updates patient coverage as needed.
• Reviews charges for accuracy, completeness, modifiers, and medical necessity; corrects as necessary and submits timely. Corrects and resubmits rejected claims.
• Manages work queues for assigned providers; follows up with third‑party payers on unpaid or denied claims via portals, phone, chat, email, and appeals as necessary.
• Documents contact with insurance companies and others using appropriate designated methods.
• Manages and responds to payer requests for information/medical records for claim adjudication.
• Communicates with patients about billing inquiries and discrepancies.
• Works as part of a cohesive team, providing coverage for other team members as needed.
• Performs additional duties as assigned.

Skills

Team Player

Enthusiastic

Dedicated

Detail Oriented

Self‑Starter

Job description

Northeast OB/GYN Administration Building, 14100 San Pedro Ave, San Antonio, TX 78232, USA.

Responsibilities

• Maintains detailed knowledge of revenue cycle functions.
• Reviews and completes work log tasks in the system by working through claim edits, denials, and aging tasks; turns in daily productivity reports as required.
• Works accounts receivable to ensure timely payments from insurance.
• Initiates claim submissions, performs account review, and ensures work is accurate and complete.
• Identifies trends, conducts follow‑up, and performs root cause analysis on unpaid accounts.
• Responds to inquiries and calls from patients or staff members.
• Reviews websites, bulletins, and other resources to maintain current knowledge of regulatory requirements and relays information to Manager and team members.
• Performs insurance eligibility verifications and updates patient coverage as needed.
• Reviews charges for accuracy, completeness, modifiers, and medical necessity; corrects as necessary and submits timely. Corrects and resubmits rejected claims.
• Manages work queues for assigned providers; follows up with third‑party payers on unpaid or denied claims via portals, phone, chat, email, and appeals as necessary.
• Documents contact with insurance companies and others using appropriate designated methods.
• Manages and responds to payer requests for information/medical records for claim adjudication.
• Communicates with patients about billing inquiries and discrepancies.
• Works as part of a cohesive team, providing coverage for other team members as needed.
• Performs additional duties as assigned.

Qualifications

• Team Player: Works well as a member of a group.
• Enthusiastic: Shows intense and eager enjoyment and interest.
• Dedicated: Devoted to a task or purpose with loyalty or integrity.
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the job done well.
• Self‑Starter: Inspired to perform without outside help.

Preferred

• 2 years Revenue cycle/Billing experience.

Equal Opportunity Employer

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