Revenue Cycle Specialist - Customer Service/Call Center - Must Reside in Colorado
Core
Ensures optimal reimbursement for hospital billing on inpatient and outpatient accounts through customer service, claims management, and denial resolution.
Role type
Revenue Cycle Specialist (Billing & Collections)
Builds
Hospital revenue streams for government, commercial, and self-pay accounts
Domain
Healthcare / Medical Billing
Required skills
Claims submission and review, denial management and appeals, cash application and reconciliation, payer remittance interpretation, self-pay account guidance, legal liability investigation, Siemens Invision system proficiency, eligibility software usage, account transfer and adjustment processing, incoming correspondence handling
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 payers/debtors; posts and reconciles payments timely; processes account transactions involving charge transfers or adjustments; responds to incoming correspondence from insurers and patients; identifies and communicates account problems to supervisors
Seniority
Individual Contributor, 1-3 years experience