Healthcare Revenue Cycle Specialist

3 days ago

Gujrat, Punjab, Pakistan beBeeRevenue Full time $60,000 - $90,000

About the Job

The Healthcare Revenue Cycle Specialist plays a pivotal role in driving efficient and compliant revenue cycle operations.

Key Responsibilities:

  • Insurance Verification: Perform accurate and timely insurance verification, conduct regular re-verifications, and 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 required medical documentation from the client's EMR, and manage follow-up authorization requests as needed.
  • Physician Order Tracking: Send unsigned physician orders to offices for review and signature, follow up on outstanding or aged orders, and implement strategies for timely completion.
  • Documentation & Reporting: Develop internal tracking spreadsheets and databases to support day-to-day workflow.
  • Team Support: Assist in training staff on workflows and best practices, and support administrative duties as assigned.

This role requires strong attention to detail and ability to manage multiple tasks across various systems. Ideal candidate will have experience in an Accounts Receivable role, current employment with a reputable revenue cycle management company, and expertise in medical billing rules, insurance guidelines, and regulatory compliance.

Requirements

  • Strong analytical and problem-solving skills.
  • Experience with electronic medical records and claims processing systems.
  • Ability to work effectively in a team environment.
  • Excellent communication and interpersonal skills.

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