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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 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 KnowledgeRegulatory 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 EntryBilling Error CorrectionDocumentation Management
Soft Skills
Self-MotivatedSelf-Directed
Tools & Technologies
Microsoft OfficeBilling Software
Industry Keywords
Third Party InsuranceHealthcare AdministrationMedical DocumentationPatient ChargesRegulatory Agency Requirements
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 rejection letters, or correct billing errors and resubmit claims
- Work with physician or medical record staff to ensure correct diagnosis and 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