Revenue Cycle Specialist – Denials & Claims Resolution

MPOWERHealth; West Conshohocken (PA); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare solutions company is seeking a Reimbursement Specialist to manage accounts receivable activities. This role involves analyzing EOBs, responding to insurance denials, and ensuring compliance with billing regulations. Ideal candidates will be detail-oriented problem-solvers who thrive in a collaborative environment, helping healthcare providers achieve their goals. Join us to make a meaningful impact in the healthcare industry!

Qualifications

• Understanding of explanation of benefits (EOBs) and ability to respond to denials.
• Experience with electronic medical record (EMR) and billing systems.
• Ability to analyze payer issues and trends.

Responsibilities

• Comply with billing/AR regulations and payer policies.
• Analyze EOBs and respond to insurance carriers.
• Follow up with payers to collect open balances.
• Report payer issues regarding rejections and denials.
• Address denials and provide requested documentation.
• Complete tasks on pending accounts in a timely manner.

Skills

Problem-solving

Analytical skills

Attention to detail

Job description

A healthcare solutions company is seeking a Reimbursement Specialist to manage accounts receivable activities. This role involves analyzing EOBs, responding to insurance denials, and ensuring compliance with billing regulations. Ideal candidates will be detail-oriented problem-solvers who thrive in a collaborative environment, helping healthcare providers achieve their goals. Join us to make a meaningful impact in the healthcare industry!