Revenue Cycle Specialist (Remote in OR, Florida, Arizona, Idaho)

Talentify.io; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading company in pediatric healthcare is seeking a Billing Specialist to manage claims processing and insurance verification. This remote role offers the chance to make a positive impact on children's lives while ensuring compliance with regulations. Ideal candidates will have experience in healthcare billing, strong communication skills, and proficiency in Microsoft Office. Join a supportive team dedicated to patient care and career growth.

Benefits

Career advancement opportunities

Supportive work environment

Competitive pay and benefits package

Qualifications

• Minimum of 3 years of hospital or healthcare intake/admissions and/or reimbursement experience.
• Knowledge of ICD-10, CPT, Revenue Codes, and Medicaid methodologies preferred.

Responsibilities

• Perform billing functions for pediatric providers, ensuring timely and accurate claims processing.
• Research and resolve Medicaid and commercial denials, including composing and submitting claim appeals.
• Verify insurance eligibility and benefits, and create estimates for patients as needed.

Skills

Communication

Research

Collaboration

Education

High School diploma or GED

Tools

Microsoft Office Suite

Job description

Employer Industry: Pediatric Healthcare

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely within Oregon, Florida, Arizona, or Idaho
- Supportive and collaborative work environment focused on patient care
- Competitive total pay and benefits package
- Chance to make a positive impact on the lives of children and their families

What to Expect (Job Responsibilities):
- Perform billing functions for pediatric providers, ensuring timely and accurate claims processing
- Research and resolve Medicaid and commercial denials, including composing and submitting claim appeals
- Verify insurance eligibility and benefits, and create estimates for patients as needed
- Maintain compliance with federal and state regulations, including HIPAA and payer-specific requirements
- Collaborate with cross-functional teams to resolve insurance coverage and payment issues

What is Required (Qualifications):
- High School diploma or GED required
- Minimum of 3 years of hospital or healthcare intake/admissions and/or reimbursement experience
- Knowledge of ICD-10, CPT, Revenue Codes, and Medicaid methodologies preferred
- Proficient with Microsoft Office Suite
- Clear and effective communication skills, both verbal and written

How to Stand Out (Preferred Qualifications):
- RHIT or AAPC Certification preferred
- Epic EMR experience preferred
- Bilingual in Spanish and English a plus

#PediatricHealthcare #RemoteWork #CareerGrowth #PatientCare #CompetitiveBenefits

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