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Revenue Cycle Billing Specialist

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Job Description:

  • Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers
  • Provides, elicits, and gathers information to facilitate, expedite, and obtain professional payments from third party carriers
  • Performs collection and follow-up activity with insurance companies
  • Completes necessary billing projects as assigned
  • Meets internal and external customer expectations
  • Analyzes claims for errors during all stages of submission for accuracy of billing
  • Maintains current knowledge of payer requirements
  • Resolves all Return to Provider (RTP) claims in error in the Medicare Fiscal Intermediary Shared System (FISS) on a daily basis (hospital only)
  • Performs appropriate follow-up which could include calls to payers, claim review on payer portal, manual adjustment to account balance and financial class changes, where relevant.

Requirements:

  • High school diploma or equivalent
  • One year' previous healthcare billing experience in a hospital, professional, or medical office setting
  • Working knowledge of Microsoft office and excel
  • Experience using Electronic Medical Record (EMR) software. Cerner, Athena, Epic preferred
  • Can work well independently and in team settings.

Benefits:

  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare
  • FSA - Dependent Care
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program
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