Healthcare Revenue Cycle Operations Professional

1 day ago


Saddar Town, Pakistan beBeeInsurance Full time $60,000 - $90,000
Revenue Cycle Specialist

We are seeking a skilled Revenue Cycle Specialist to join our team. The ideal candidate will possess strong analytical and communication skills, with the ability to work independently and as part of a team.

The Revenue Cycle Specialist will be responsible for managing the revenue cycle process, including insurance verification, authorization management, and physician order tracking. The successful candidate will have excellent problem-solving skills and the ability to prioritize tasks effectively.

  • Key Responsibilities:
  • Perform initial verification of patients' insurance coverage for services
  • Conduct monthly re-verifications to identify any changes in insurance
  • Accurately document verification information within the client's Electronic Medical Record (EMR) system
  • Authorization Management:
  • Submit initial authorization requests to insurance companies for services requiring pre-certification
  • Compile and submit required medical documentation from the client's EMR to support authorization requests
  • Manage follow-up and subsequent authorization requests as needed
  • Physician Order Tracking:
  • Send unsigned physician orders to appropriate physician offices for review and signature
  • Follow up on outstanding or aged unsigned orders and implement strategies for timely completion
  • Review and upload signed physician orders into the client's EMR, ensuring compliance
  • Documentation & Reporting:
  • Develop and maintain internal tracking spreadsheets and databases to support day-to-day workflow
  • Team Support:
  • Assist in training new or existing staff on workflows and best practices
  • Support other administrative or operational duties as assigned


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