Revenue Cycle Specialist/Facility

DBL ASSOCIATES, INC; Westlake (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Bonus based on performance

Dental insurance

Flexible schedule

Health insurance

Paid time off

Profit sharing

Job summary

DBL ASSOCIATES, INC. is seeking a detail-oriented Revenue Cycle Specialist to join our healthcare team.

The ideal candidate will manage the revenue cycle process, ensuring accurate eligibility, billing and reimbursement to optimize revenue and maintain compliance. This role requires strong knowledge of eligibility, facility claim follow-up and adjudication and contractual reimbursement, contributing to the organization’s financial health by accurately processing claims and resolving billing

Qualifications

• Proven experience in medical billing or revenue cycle management within a healthcare setting.
• Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards.
• Familiarity with EPIC Patient Accounting Software
• Experience with medical collections processes and insurance claim submissions.
• Strong organizational skills with attention to detail to ensure accurate billing and coding processes.
• Knowledge of industry regulations related to healthcare billing and compliance standards.

Responsibilities

• Insurance follow-up, Claims resolution/billing, Appeals.
• Checking Online Eligibility/Claim Status
• Manage accounts receivable by following up on unpaid or denied claims through medical collections processes
• Monitor claim status and expedite resolution of rejected or denied claims to maximize reimbursement

Skills

Strong customer service skills

Tools

EPIC Patient Accounting Software

Job description

Benefits

• 401(k)
• 401(k) matching
• Bonus based on performance
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Profit sharing

Job Summary

We are seeking a detail-oriented and experienced Revenue Cycle Specialist to join our healthcare team. The ideal candidate will be responsible for managing the revenue cycle process, ensuring accurate eligibility, billing and reimbursement to optimize revenue and maintain compliance.

This role requires a strong understanding of eligibility, Facility Claim Follow-up and Adjudication and contractual reimbursement.

The Revenue Cycle Specialist will play a vital role in supporting the financial health of our organization by accurately processing claims and resolving billing issues efficiently.

Responsibilities

• Responsibilities include Insurance follow-up, Claims resolution/billing, Appeals.
• Checking Online Eligibility/Claim Status
• Manage accounts receivable by following up on unpaid or denied claims through medical collections processes
• Monitor claim status and expedite resolution of rejected or denied claims to maximize reimbursement

Requirements

• Proven experience in medical billing or revenue cycle management within a healthcare setting
• Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards
• Familiarity with EPIC Patient Acounting Software
• Experience with medical collections processes and insurance claim submissions
• Strong organizational skills with attention to detail to ensure accurate billing and coding processes
• Knowledge of industry regulations related to healthcare billing and compliance standards

This position offers an excellent opportunity for professionals passionate about healthcare finance to contribute significantly to our organization’s success while advancing their career in medical revenue cycle management.

Qualifications

• Strong customer service skills
• Previous experience with medical coding or billing desired
• Strong organization skills
• Excellent attention to detail