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Revenue Cycle Specialist, AR Specialist, Medical Biller
Option Care Health. Submit timely, accurate invoices to payers for products and services provided .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in billing and reimbursement processes, ensuring compliance with contract terms and HIPAA guidelines while effectively managing patient accounts and invoicing. Proficient in follow-up procedures for timely payments and appeals management.
Highest-signal resume keywords
Infusion Reimbursement ExperienceBilling And Collection TrainingHIPAA ComplianceMicrosoft ExcelMicrosoft Word
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Invoice SubmissionPayment EvaluationClaims VerificationSecond-Level AppealsDocumentation Verification
Soft Skills
Attention To DetailCommunication SkillsOrganizational Skills
Industry Keywords
Fee SchedulesContract TermsPatient AccountsOverpaymentsDuplicate Payments
About the role
Key responsibilities & impact- Submit timely, accurate invoices to payers for products and services provided
- Understand contract terms and fee schedules for submitted invoices
- Determine quantities and prices for drugs billed
- Verify services and products are authorized and required documentation is on file
- Evaluate payments and apply them accurately to patient accounts
- Mail secondary bills and patient invoices within 48 hours of payment receipt
- Notify the Reimbursement Manager of overpayments and duplicate payments
- Transfer payments belonging to other offices within 48 hours
- Follow up on submitted invoices to ensure prompt payment
- Verify claims receipt and processing status
- Send patient or responsible-party letters when insurers fail to pay timely
- Generate and mail statements and collection letters
- Follow up on denials within 48 hours
- Assist with Billing and Collection Training
- Complete second-level appeals to payers
- Maintain compliance with contract terms, fee schedules, and HIPPA guidelines
Requirements
What you’ll need- High School Diploma or equivalent.
- 6 months previous Infusion Reimbursement or Intake/Admissions experience
- Basic level skill in Microsoft Excel
- Basic level skill in Microsoft Word
- Must reside within the Central Time Zone area
- Follows HIPPA guidelines when accessing and sharing patient information
Benefits
Comp & perks- Medical, Dental, & Vision Insurance
- Paid Time off
- Bonding Time Off
- 401K Retirement Savings Plan with Company Match
- HSA Company Match
- Flexible Spending Accounts
- Tuition Reimbursement
- myFlexPay
- Family Support
- Mental Health Services
- Company Paid Life Insurance
- Award/Recognition Programs