Revenue Cycle Specialist: Denials & Reimbursement Expert

North Mississippi Health Services, Inc.; Tupelo (MS); Híbrido; USD 55 104 000 - 82 656 000; Tempo integral

Resumo da oferta

North Mississippi Health Services, Inc. in Tupelo, MS is seeking a Revenue Cycle Specialist to support billing, follow-up, and denial management.

The role requires analyzing payer data, communicating with third party payers, and ensuring accurate payment capture to maintain financial health. The ideal candidate has strong analytical skills, proficiency with payer portals, and solid organizational abilities to coordinate with hospitals and providers.

Qualificações

• Excellent analytical and problem-solving skills.
• Strong organizational and verbal/written communication abilities.
• Experience with payer websites, vendor interfaces, and claims data.
• Proficiency in Microsoft Office suite and payer portals.
• Ability to research, analyze, and communicate payer trends to identify reimbursement issues.
• Ability to communicate with payers, vendors, and hospital staff to ensure contractual compliance.

Responsabilidades

• Billing & Follow Up: process bills for third party payors and resolve issues.
• Denial Management: analyze denials and develop appeal strategies.
• Contract Management: understand payer methodologies and manage paid claims.
• Communication: liaise with payers, vendors, and hospital contacts.
• Reporting: prepare denial and variance reports as requested.
• Regulation: comply with policies, guidelines, and regulations.

Conhecimentos

Analytical skills

Problem-solving

Organizational skills

Communication skills

Interpersonal skills

Microsoft Office

Outlook

Payer trends

Formação académica

Associate’s Degree | Business Administration/Management

Bachelor’s Degree | Business Administration/Management

High School Diploma, GED, or Project Search Graduate | Business Administration/Management

Ferramentas

Third Party Payer websites

Descrição da oferta de emprego

North Mississippi Health Services, Inc. in Tupelo, MS is seeking a Revenue Cycle Specialist to support billing, follow-up, and denial management.

The role requires analyzing payer data, communicating with third party payers, and ensuring accurate payment capture to maintain financial health. The ideal candidate has strong analytical skills, proficiency with payer portals, and solid organizational abilities to coordinate with hospitals and providers.