Revenue Cycle Specialist I

Description:

Job Summary:

Do you have experience working in hospital registration, billing and/or accounting systems? Do you have a strong knowledge of claim denial management, medical terminology, and patient health records? If this sounds like you, Nemadji wants you to join our team of dedicated individuals working hard to make a difference for healthcare facilities and the patients they serve! The Revenue Cycle Specialist is responsible for advanced account verification, eligibility inquiries, obtaining proof of coverage and authorizations from payers and billing claims.

Job Responsibilities:

Perform advanced verification of account statuses to determine appropriateness for billing. Request and obtain documentation of patient's coverage via phone calls, web inquiries, and written requests. Perform data entry for selected project functions and communicate effectively with external entities such as payers, Social Security, etc. Add coverage to client systems and initiates claim submission, monitor account activity for payment or denial and perform follow up on denied or underpaid claims.

Requirements:

Education:

High School Diploma Required Experience:

A minimum of 2 years' experience in medical billing and working claim denials.

Required Qualifications and Skills:

Proficient in working with Windows operating systems including Microsoft Office applications such as Word, Excel, and Outlook. Ability to work independently and with a team in a fast-paced and high-volume environment with an emphasis on accuracy and timeliness. Solid understanding of medical billing rules and practices, including coordination of benefits along with the knowledge of and ability to work with hospital registration, billing and/or accounting systems. Professional certification, such as CRCS-I or CPAR or equivalent. This is a full-time hourly position with a fantastic benefits package! 401k Retirement Savings Plan 401k Company Match Incredibly Generous Monthly HSA Contributions (nearly pays for annual deductible) 80% Employer-Paid Medical Premiums Free Dental, Life, Long & Short-Term Disability Insurance Vision Insurance 10 Paid Holidays Generous PTO (Earn 3 weeks within the first year - increases with service years) Generous Employee Recognition Programs Company Sponsored Events Paid Volunteer Hours (8hrs per year) Casual Work Environment Employee Assistance Program (EAP) Excellent Work/Life Balance Education Reimbursement Program EEO/AAP Employer/Drug Free Workplace