Job Listing:

Revenue Cycle Specialist

Signature Performance

Company:
Signature Performance

Industry:
Healthcare

Job title:
Revenue Cycle Specialist

Job level:
Mid

Job description:
Review billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc.). Clearing all edits necessary for clean claim submission
Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission
Review and understand EOB\\\\\\'s/RA\\\\\\'s (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities.
Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems.
Contact insurance plans and government entities using online systems, email, and phone to resolve unpaid claims
Provide data to management on trends found with payers in claims adjudication process affecting claims payment
Provide excellent customer service in keeping with Signature\\\\\\'s legacy both internal and externally
Assist with process design and redesign as needed for Signature\\\\\\'s client
Maintain expertise in multiple current client systems
Maintain up to date knowledge of revenue cycle management, industry trends
Perform other duties as necessary.
Acts as an effective team member.
Knowledge & Experience:

2+ years health care revenue cycle experience within a physician office, hospital or insurance plan claim processing unit
Participate in revenue cycle training
General knowledge of CPT/HCPCS and ICD.10 coding requirements
Strong attention to detail outstanding written and verbal communication skills
Computer proficiency including Microsoft Office, Word, Excel and Outlook
Ability to function effectively in a fast-paced environment
Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value.
General Areas of Accountability:

The incumbent must conduct business and personal affairs in a manner that is always a credit to the company.

Machines and Equipment:

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copier and fax machines.

Physical Activity:

The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements.

WORKING CONDITIONS:

The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone, sitting and data keying are required.

Remote Eligibility: This position is eligible for ad-hoc remote work. Eligibility is determined by Management or Human Resources.

The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Job Type: Full-time

Positions available:
6

Posted on:
April 23, 2021