Revenue Cycle Specialist I

Southeast Health; Dothan (AL); On-site; USD 42,000 - 62,000; Full time

Job summary

Southeast Health in Alabama is seeking a Revenue Cycle Specialist I to perform daily reimbursement activities, including claims filing/follow-up, payment entry, and AR maintenance. You will work with insurance companies and clinical staff to ensure timely and accurate reimbursement.

The role requires attention to detail, basic CPT/ICD-10 knowledge, and strong communication skills to interact with patients and care teams in hospital and clinic settings.

Qualifications

• High School diploma; revenue cycle experience preferred.
• CPT and ICD-10 coding knowledge required.
• Coding certification preferred.
• Proficient with computers.

Responsibilities

• Works as part of a multi-disciplinary team to provide answers to inquiries and questions.
• Troubleshoot problems and provide information; resolve billing issues.
• Handle inquiries telephonically and in person with professional customer service.
• Provides claim submission for services and follow-up on non-processing or denials.
• Coordinates with third party payers and clinical teams for accurate reimbursement.
• Post payments and review accounts to ensure accurate financial records.

Skills

Excellent written/verbal communication

Basic keyboard/typing skills

Basic computer skills

Education

High School diploma

Job description

## Revenue Cycle Specialist IApply: 1144 Ross Clark Circle: Full time: Posted Today: JR15778# **Southeast. Always the right career direction.**## **Job Description Summary**Performs daily activities involved in the reimbursement process, i.e., claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments below contracted fee schedule amount. Identifies any repetitive errors, either system/manual so that corrective action may be taken and documented. Performs all tasks in a timely manner to ensure consistency in Accounts Receivables totals and maintain a minimum of days in A/R.## **Job Description****QUALIFICATIONS:*** High School diploma;* One year of revenue cycle experience preferred;* Working knowledge of CPT and ICD 10 coding systems;* Coding Certification preferred;* Working knowledge of computers.**LANGUAGE/ COMMUNICATION SKILLS:*** Excellent written, verbal and interpersonal skills;* Ability to interact with customers in both hospital and clinic environments.**SKILLS****:*** Basic keyboard/typing skills;* Basic computer skills;* Calculator skills.**POSITION DUTIES:*** Works as part of a multi-disciplinary team to provide answers to inquiries and questions;* Troubleshoot problems and provide information;* Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person;* Provides a variety of support services in connection to the day-to-day operations in a health care environment;* Maintains working knowledge of regulatory guidelines for billing;* Provides claim submission for services provided at SEH;* Provides follow up on claims which did not process correctly;* Provides follow up with insurance companies or individuals to obtain accurate reimbursement;* Reviews correspondence daily for appropriate follow up;* Works closely with clinical team for accurate charges and modifiers;* Verifies third party payer coverage;* Coordinates authorizations when appropriate;* Works closely with coding team for accurate submission on claim;* Process and follow up on payer denials, consulting with various entities for completion;* Research and resolve client billing problems or issues;* Provide communication on the methods and principles used for billing to the customers and resolve concerns;* Study contractual terms and conditions of payment to ensure payments are made consistent with terms;* Conduct work functions to assist with late charge processes;* Works closely with third party collection vendors for accurate payment records;* Assist patients and their families with applying for financial assistance;* Establish payroll deduction transactions;* Make daily deposits to the bank;* Ensure change fill requests are complete for department’s daily function;* Work with patients to develop self-pay arrangements and payment plans when applicable;* Post payments for both insurance and individuals;* Review accounts and initiate refunds when applicable;* Communicate self-pay balances for upcoming services and collect balances due;* Work with accounting department for accurate financial documentation;* Edit account for correct coverage documentation;* Apply contractual adjustments in accordance with contracts;* Print, scan and index correspondence to the appropriate account;* Works closely with electronic payment process vendor for accurate posting and adjustments electronically;* Oversee the electronic flow of the account through the billing process to include bad debt;* Performs all other duties as assigned.## **Shift**Day## Shift Details8:00 am - 4:30 pm## **FTE**1## **Type**Regular