Sr. Revenue Cycle Billing Specialist

Davita Inc.; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a Revenue Cycle Billing Specialist to oversee the collection of aging medical insurance claims. This role involves filing claims, handling calls, researching denials, and ensuring compliance with billing policies, all within a remote work environment. Candidates should possess effective communication skills, attention to detail, and relevant training in insurance billing.

Qualifications

• High school diploma or equivalent is required.
• Formal training in the specialty of Insurance Billing preferred.
• Knowledge of insurance payers preferred.

Responsibilities

• File claims using appropriate forms and attachments.
• Research account denials and file written appeals.
• Verify patient information and benefits.

Skills

Communication

Time Management

Organization

Initiative

Attention to Detail

Education

High school diploma or equivalent

Formal training in Insurance Billing

Job description

GENERAL SUMMARY:

The goal of the Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.

Essential Duties and Responsibilities:

* File claims using all appropriate forms and attachments

* Handle Outbound calls and Maneuver between several different software systems

* Research account denials and file written appeals, when necessary.

* Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.

* Ensure the integrity of each claim that is billed.

* Document in detail all efforts in CUBS system and any other computer system necessary.

* Verify patient information and benefits.

Additional Duties and Responsibilities:

* Meet specified goals and objectives as assigned by management.

* Maintain good working relationships with state and Federal agencies.

* Resolve accounts in a timely manner.

* Always maintain confidentiality of account information.

* Adhere to the prescribed policies & procedures as outlined in the Employee Handbook and Employee Code of Conduct.
* Maintain awareness of and actively participate in the Corporate Compliance Program.

* Maintain a confidential and orderly remote work area.

* Assist with other projects as assigned by management.

Educational/Vocational/Previous Experience Recommendations:

* High school diploma or equivalent is required.

* Formal training in the specialty of Insurance Billing preferred.

* Knowledge of all insurance payers preferred.

* Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments

* Ability to always present oneself in a courteous and professional manner

* Ability to stay on task with little or no management supervision

* Demonstrate initiative and creativity in fulfilling job responsibilities

* Capacity to prioritize multiple tasks using time management and organizational skills.

* Proficient PC knowledge and the ability to type 30-40 wpm.

Working Conditions:

* Remote work from home office, virtual Call Center environment.

* Must be able to sit for extended periods of time.