Revenue Cycle Support Specialist
Core
Manage, process, and respond to incoming and outgoing written communications related to the healthcare revenue cycle, including insurance correspondence, patient billing inquiries, and claim follow-ups.
Role type
Revenue Cycle Support Specialist
Builds
Accurate, timely, and compliant resolution of revenue cycle issues through correspondence management
Domain
Healthcare / Revenue Cycle Administration
Deliverable
dashboards & analysis
Required skills
Correspondence processing, Insurance correspondence handling, Patient billing inquiries, Claim follow-ups, Denial management, HIPAA compliance, Electronic document management, Report generation
Preferred skills
Healthcare billing knowledge, Insurance processes, Payer guidelines, Insurance denials, Appeals, Claim resolution
Technologies
Microsoft Office Suite (Word, Outlook), Revenue cycle software
Responsibilities
Receive, review, and process incoming correspondence related to billing, insurance claims, denials, appeals, and patient inquiries; Process outgoing mails including claims, itemized bills, and medical records; Draft, edit, and send responses to insurance companies, patients, and internal departments; Maintain accurate records of all correspondence in electronic document management systems; Track, monitor, and escalate unresolved correspondence issues; Collaborate with billing, coding, collections, and patient financial services teams; Ensure all correspondence complies with HIPAA regulations; Support denial management by generating appeal letters; Assist in audit preparation; Maintain templates and update correspondence formats; Provide regular reports on correspondence volume, status, and resolution metrics.