Revenue Cycle Specialist

Socket.dev; United States; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short-Term Disability

Fully Paid Long-Term Disability

Paid Vacation

Paid Sick Leave

Paid Holidays

Professional Development and Tuition

401(k) Employer Match

Job summary

Signature Performance is seeking a Follow Up Specialist to manage insurance claim follow-up, review EOBs, and resolve issues with payers. You will work with billing, coding, and clinical staff to expedite payments and ensure accurate account notes.

The role requires at least 4 years in medical billing or revenue cycle, knowledge of CPT/ICD coding, and experience with EHR systems. Continental US required; strong communication and analytical skills are essential.

Qualifications

• Minimum of 4 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience with Indian Healthcare, Commercial Payers, and workers’ compensation accounts.
• Knowledge of CPT/ICD coding and medical terminology.

Responsibilities

• Follow up on assigned insurance claims to ensure timely payment.
• Review EOBs and remittance advice for accuracy and claim status.
• Contact insurance companies to resolve claim issues.
• Identify and appeal denied or underpaid claims based on payer guidelines.
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation.
• Update patient account notes with follow-up actions and outcomes.
• Monitor aging reports and prioritize work by payer deadlines and balances.
• Ensure compliance with federal, state, and payer-specific regulations.

Skills

Medical billing

Insurance follow-up

Revenue cycle

Analytical problem-solving

Communication skills

Education

Associate's degree (healthcare or business)

Tools

Epic

Meditech

Artiva

Job description

About You

You are a person who is passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment.

• Tell us about your experience with Follow Up.
• Are you a team player and a self-motivator?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

About The Position

• Follow up on assigned insurance claims to ensure timely and accurate payment.
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
• Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
• Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
• Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
• Monitor aging reports and prioritize work based on payer deadlines and account balance.
• Ensure compliance with federal, state, and payer-specific regulations and policies.
• Meet individual and team performance goals, including productivity and quality standards.
• Participate in departmental meetings, training sessions, and quality improvement initiatives as required.

Minimum Requirements:

• High school diploma or equivalent required; Associate's degree in healthcare or business preferred.
• Minimum of 4 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience working with Indian Healthcare, Commercial Payers, and worker compensation accounts.
• Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
• Strong understanding of healthcare claim submission and adjudication processes.
• Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).
• Excellent verbal and written communication skills.
• Ability to work independently, manage time effectively, and handle multiple priorities.
• Strong analytical and problem-solving skills

About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

About the Benefits

When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match

Qualifications

• U.S. Citizenship or naturalized citizenship is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.