Specialist I, ROPS (Lab)
Core
Revenue Operations Specialist handling medical billing, claims submission, and accounts receivable reconciliation for outpatient kidney dialysis lab testing.
Role type
Specialist I, Revenue Operations (Billing & Claims)
Builds
Electronic claim files, payer billing tables, and accurate patient insurance records for renal testing.
Domain
Healthcare / Medical Billing / Revenue Operations
Required skills
Medical terminology, Insurance remittance advice interpretation, A/R system navigation, 10-key touch typing, Data entry, Claim resolution, Payment application, Credit balance evaluation, Refund processing
Preferred skills
Medical office experience, 50+ wpm typing speed, Knowledge of coordination of benefits
Responsibilities
Generate and submit electronic claims via clearinghouse, Resolve claim submission rejections by contacting payers, Maintain payer billing and clinic demographic tables, Track medical record requests and perform billing audits, Apply payments and denials to patient claims, Balance posted amounts and resolve out-of-batch conditions, Research difficult remittance advices, Process credit balances and refund checks.
Seniority
Entry-level (0-2 years experience)