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Revenue Cycle Specialist
BrightView. Prepare and submit physician and clinic claims to third party insurance carriers electronically or by hard copy billing .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim preparation, submission, and follow-up with third-party insurance carriers. Proficient in maintaining compliance with regulatory requirements and ensuring accurate documentation and charge entry.
Highest-signal resume keywords
Medical BillingClaim SubmissionInsurance Follow-UpBilling Software ProficiencyRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaim SubmissionCharge EntryDocumentation ManagementBilling Error CorrectionInsurance KnowledgeAuthorization MonitoringThird Party Claims ProcessingHealthcare AdministrationFinancial Reporting
Soft Skills
Self-MotivatedSelf-DirectedAttention to DetailCommunication SkillsProblem-Solving
Tools & Technologies
Microsoft OfficeBilling Software
Industry Keywords
Healthcare AdministrationInsurance CarriersRegulatory Agency CompliancePatient ChargesMedical Documentation
About the role
Key responsibilities & impact- Prepare and submit physician and clinic claims to third party insurance carriers electronically or by hard copy billing
- Secure needed medical documentation required or requested by third party insurances
- Follow up with third party insurance carriers on unpaid claims until paid or only self-pay balance remains
- Process rejections by making accounts private and generating a letter of rejection to patients, or correct billing errors and resubmit claims
- Work with physician or medical record staff to ensure correct diagnosis/procedures are reported
- Ensure proper documentation and charge entry of patient charges
- Keep updated on billing and insurance changes
- Monitor claims for missing information and authorization/control numbers
- Support clinic mission, vision, values, standards, policies, procedures, confidentiality standards, and ethical behavior
- Maintain third party billing logs
- Ensure documentation complies with regulatory agency requirements and best practices
Requirements
What you’ll need- High School Diploma or equivalent required
- Self-motivated and self-directed
- Proficient computer skills including Microsoft Office
- Knowledge of billing software preferred
- Bachelor’s degree in accounting, health care administration, finance, business, or related field preferred
- 2 years previous experience as a medical biller or in a related healthcare administrative position preferred
Benefits
Comp & perks- PTO (Paid Time Off)
- Immediately vested and eligible in 401k program with employer match
- Company sponsored ongoing training and certification opportunities
- Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance
- Tuition Reimbursement after 1 year in related field
- Competitive compensation
- Supportive work environment dedicated to professional growth and development