Revenue Cycle Specialist - Customer Service/Call Center - Must Reside in Colorado
Core
Ensures optimal reimbursement for hospital or provider billing on inpatient and outpatient accounts by managing claims, collections, and denial management.
Role type
Revenue Cycle Specialist (Billing & Collections)
Builds
Hospital revenue streams through accurate claims submission and cash application
Domain
Healthcare / Medical Billing
Required skills
Claims submission, denial management, cash application, payer remittance reconciliation, self-pay account guidance, EOB interpretation, delinquent account investigation, Siemens Invision system proficiency, eligibility software usage
Preferred skills
Associate's Degree, 1-3 years hospital revenue cycle experience
Technologies
Siemens Invision, eligibility software, billing systems
Responsibilities
Completes claims submissions and reviews accounts for accuracy; Initiates collections by contacting third-party payers or debtors; Processes incoming correspondence from insurance carriers and patients; Researches, corrects, and resubmits claims within mandated timeframes; Reconciles payer remittances and posts payments timely; Investigates delinquent accounts for legal liability.
Seniority
Individual Contributor, 1-3 years experience